Nokea
A group of nursing students are reviewing information about helminthes. The students demonstrate understanding when they identify which of the following as a helminth?
- A. Roundworms
- B. Pinworms
- C. Ringworms
- D. Hookworms
- E. Tapeworms
Correct Answer: A,B,D,E
Rationale: Roundworms, pinworms, hookworms, and tapeworms are examples of helminths. Ringworm is a fungal infection.
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A nurse understands that anthelmintic drugs are contraindicated in which patients?
- A. Patients who are pregnant
- B. Patients with myasthenia gravis
- C. Patients with clinical depression
- D. Children younger than 15 years
Correct Answer: A
Rationale: Anthelmintic drugs are contraindicated in patients who are pregnant. Quinine, not anthelmintic drugs, should not be prescribed for patients with myasthenia gravis. Anthelmintic drugs are not known to be contraindicated in patients with clinical depression or in children younger than 15.
After teaching a group of nursing students about amphotericin B, the instructor determines that the teaching was successful when the students identify which of the following as true?
- A. The drug is light sensitive.
- B. It can be administered via IM injection.
- C. The drug can cause renal damage.
- D. Amphotericin B is administered in the outpatient setting.
- E. The drug should be used within 8 hours.
Correct Answer: A,C,E
Rationale: Amphotericin B is given only under close supervision in the hospital setting, can cause renal damage, is given IV usually over a period of 6 hours, and should be protected from light and used within 8 hours of reconstitution.
During treatment of parasitic infections, the primary health care provider orders daily stool specimens be sent to the lab for examination. Which of the following would the nurse document as part of the client's plan of care?
- A. Number of stools produced
- B. Odor of stool
- C. Consistency of stool
- D. Frequency of stool
- E. Color of stool
Correct Answer: A,C,D,E
Rationale: The nurse should record the number, consistency, color, and frequency of stools as part of the client's plan of care. Documenting the odor is not necessary.
The nurse is teaching a client and his family about administering pentamidine at home. Which statement by the client indicates a need for additional teaching?
- A. I should protect the solution from direct light.
- B. The entire treatment should take no more than 15 minutes.
- C. I need to dissolve the drug in the correct amount of sterile water.
- D. Only the pentamidine solution should go into the nebulizer's reservoir.
Correct Answer: B
Rationale: The pentamidine treatment typically lasts about 30 to 45 minutes. The solution should be protected from light after the drug is dissolved with the proper amount of sterile water. No other drugs should be added to the reservoir.
A client who is receiving oral systemic antifungal therapy has a nursing diagnosis of Risk for Ineffective Renal Tissue Perfusion. Which of the following would be least appropriate for the nurse to include in the client's plan of care?
- A. Monitoring urine output hourly
- B. Monitoring serum creatinine levels
- C. Evaluating blood urea nitrogen levels
- D. Premedicating the client with an antihistamine
Correct Answer: D
Rationale: For the nursing diagnosis of ineffective renal tissue perfusion, the nurse would monitor the client's urine output hourly and evaluate serum creatinine and BUN levels frequently. Premedicating the client with an antihistamine would only be appropriate if the client was receiving amphotericin B via IV infusion.