Nokea
A patient is receiving doxycycline as short-term therapy for malaria. Which of the following instructions would the nurse include in the teaching plan about the possible side effects of the drug?
- A. Avoid taking warfarin because it increases the risk of bleeding.
- B. Avoid exposure to the sun by wearing protective clothing.
- C. Take the drug with food, or immediately afterward.
- D. Do not drive or perform other activities requiring alertness.
Correct Answer: B
Rationale: The nurse should instruct the patient to avoid exposure to the sun by wearing protective clothing (e.g., long-sleeved shirts, wide-brimmed hats) and by using sunscreen. Combining warfarin with quinine, not doxycycline, increases the risk of bleeding. Doxycycline should be taken on an empty stomach. Doxycycline does not impair alertness, so the patient can drive or perform other activities requiring alertness.
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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.
A patient has been diagnosed with amebiasis. Which of the following would the nurse do regularly when caring for this patient?
- A. Take vital signs every 8 hours
- B. Freeze any stool samples for testing
- C. Avoid foods that acidify the urine
- D. Provide the patient with small, frequent meals
Correct Answer: D
Rationale: The nurse should ensure that the patient has small, frequent meals (five to six daily) because these may be more appealing than three large meals. The nurse should take vital signs every 4 hours, not 8. Stool samples for testing should be maintained at room temperature and not frozen. There is no need to avoid foods that acidify the urine.
Which of the following would the nurse emphasize when teaching the client and family about measures to prevent reinfection and the transmission of a parasitic infection to others?
- A. Wash hands thoroughly before preparing or eating food.
- B. Disinfect toilets daily.
- C. Bathe daily.
- D. Disinfect the bathtub or shower stall immediately after bathing.
- E. Avoid putting fingers in the mouth or biting fingernails.
Correct Answer: A,B,C,D,E
Rationale: Important measures to include in the teaching plan to prevent reinfection and the transmission of a parasitic infection to others include the following: washing hands thoroughly before preparing or eating food, disinfecting toilets daily, bathing daily (showering is best), disinfecting the bathtub or shower stall immediately after bathing, and avoiding putting fingers in the mouth or biting fingernails.
A patient with a severe stomachache visits the health care facility. A parasitic infection is suspected. The nurse would expect to collect which of the following specimens?
- A. Stool
- B. Blood
- C. Urine
- D. Saliva
Correct Answer: A
Rationale: The nurse should obtain stool samples of patients with suspected parasitic infection. There is no need to obtain samples of blood, urine, or saliva in cases of suspected parasitic infection.
A nurse is administering an IV infusion of amphotericin B. The nurse would be alert for which of the following adverse reactions during the first 30 to 60 minutes of the infusion?
- A. Muscle pain
- B. Hypotension
- C. Nausea
- D. Decreased renal function
- E. Chills
Correct Answer: B,C,E
Rationale: When the nurse administers amphotericin B by IV infusion, immediate adverse reactions can occur within 15 to 20 minutes of beginning the infusion, including nausea, vomiting, hypotension, tachypnea, fever, and chills; therefore, it is important for the nurse to carefully monitor the client's temperature, pulse, respirations, and blood pressure during the first 30 to 60 minutes of treatment.