Nokea
After teaching a group of nursing students about antiprotozoal drugs, the instructor determines that the teaching was successful when the group identifies which of the following as an indication for use?
- A. Toxoplasmosis
- B. Malaria
- C. Giardiasis
- D. Pneumocystis carinii pneumonia
- E. Trichomoniasis
Correct Answer: A,B,C,D,E
Rationale: Antiprotozoal drugs are used in the treatment of malaria, giardiasis, toxoplasmosis, intestinal amebiasis, trichomoniasis, and Pneumocystis carinii pneumonia.
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After teaching a group of nursing students about the actions of the various antifungal drugs, the instructor determines that the teaching was successful when the students identify which drug as having only fungistatic activity?
- A. Fluconazole
- B. Amphotericin B
- C. Miconazole
- D. Nystatin
Correct Answer: A
Rationale: Fluconazole has fungistatic activity, whereas amphotericin B, miconazole, and nystatin exert both fungicidal and fungistatic activity.
Which of the following would the nurse include in the teaching plan for a client about the use of an antifungal cream preparation for the treatment of ringworm in the ambulatory care setting?
- A. Clean involved area before applying cream.
- B. Increase the amount of cream used if skin infection worsens.
- C. Decrease the frequency of applying cream if skin infection improves.
- D. Keep towels and washcloths for bathing separate from other family members during treatment.
- E. Keep the affected area clean and moist.
Correct Answer: A,D
Rationale: When instructing a client about the use of an antifungal cream preparation for the treatment of ringworm in the ambulatory care setting, the nurse should include the following: cleaning the involved area and applying the cream to the skin as directed by the physician, not increasing or decreasing the amount used or number of times the cream should be applied unless directed to do so by the physician, keeping the affected area clean and dry, and keeping towels and washcloths for bathing separate from those of other family members to avoid the spread of infection.
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 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.
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.