Nokea
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.
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A client is planning to travel to an area of the world where malaria is endemic. The physician has given the client a prescription of chloroquine as prophylaxis. Which of the following would the nurse include in the teaching plan for this client about starting and ending therapy?
- A. Begin therapy 1 month before exposure.
- B. Begin therapy 2 weeks before exposure.
- C. Continue therapy 6 to 8 weeks after leaving endemic area.
- D. Continue therapy 1 to 2 weeks after leaving endemic area.
- E. Stop therapy 2 days prior to leaving endemic area.
Correct Answer: B,C
Rationale: The nurse should advise the client to begin malaria prophylaxis therapy 2 weeks before traveling to the endemic area and to continue therapy 6 to 8 weeks after leaving the endemic area.
A nurse would expect to administer antihelminthic therapy cautiously to which of the following clients?
- A. Clients who are lactating
- B. Clients with hepatic impairment
- C. Clients with anemia
- D. Clients with diabetes
- E. Clients with renal impairment
Correct Answer: A,B,C,E
Rationale: Antihelminthic drugs should be used cautiously in lactating clients and clients with hepatic or renal impairment and malnutrition or anemia.
A patient has been prescribed albendazole on an outpatient basis for an anthelmintic infection. After teaching the patient about the therapy, which statement by the patient indicates effective teaching?
- A. Easy bruising or bleeding is normal and neednt be reported.
- B. I need to disinfect the bathtub or shower stall immediately after bathing.
- C. I should avoid bathing daily if I have problems with my skin.
- D. I need to use oral contraceptives while I'm taking this drug.
Correct Answer: B
Rationale: The nurse should instruct the patient to disinfect the bathtub or shower stall immediately after bathing to avoid spreading the infection. Thrombocytopenia or easy bruising or bleeding is not normal and should be reported immediately. Impaired skin integrity is not associated with albendazole, so there is no need to avoid bathing daily. Instead of oral contraceptives, the nurse should recommend the barrier method during the course of therapy and for 1 month after discontinuing the therapy.
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.
Which of the following would the nurse include in the teaching plan as an adverse reaction for a client receiving antihelminthic therapy?
- A. Hypotension
- B. Drowsiness
- C. Abdominal pain
- D. Hypoglycemia
- E. Nausea
Correct Answer: B,C,E
Rationale: Antihelminthics cause several generalized adverse reactions that the client should be advised of, including drowsiness, dizziness, nausea, vomiting, abdominal pain and cramps, and diarrhea.