Nokea
Foods that acidify the urine may interact with chloroquine and increase the drug's excretion, thereby decreasing its effectiveness in the treatment of malaria. The nurse should counsel the client to avoid which of the following foods during treatment with chloroquine?
- A. Plums
- B. Oranges
- C. Fish
- D. Eggs
- E. Cranberries
Correct Answer: A,C,D,E
Rationale: The nurse should counsel the client to avoid cranberries, plums, prunes, meats, cheeses, eggs, fish, and grains.
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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.
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.
Pyrantel has been prescribed for a patient with roundworms. The patient demonstrates understanding of the teaching about this drug when the patient identifies which of the following as an adverse reaction that should be reported to the health care provider immediately?
- A. Abdominal cramping
- B. Headache
- C. Nausea
- D. Rashes
Correct Answer: D
Rationale: Rashes are a serious adverse reaction associated with pyrantel and should be reported immediately. Headache, nausea, and abdominal cramping are not major side effects associated with pyrantel.
A client receiving which of the following would the nurse identify as being at increased risk for candidal infections?
- A. Antihypertensive therapy
- B. Antibiotics
- C. Hypoglycemic agents
- D. Immunosuppressive agents
- E. Oral contraceptives
Correct Answer: B,C,D,E
Rationale: Clients who are at increased risk for candidal infections are those who are immunocompromised, have diabetes, are pregnant, or are taking oral contraceptives, antibiotics, or corticosteroids, as well as posttransplant or surgical clients.
A patient has been prescribed ketoconazole. Which of the following instructions should the nurse give to the patient regarding its use?
- A. Cut the tablet in half and take each half one after the other.
- B. Take the drug with an antacid.
- C. Ignore any abdominal pain and fever-these are normal.
- D. Do not drive if drowsiness or dizziness occurs.
Correct Answer: D
Rationale: The nurse should instruct the patient to avoid driving or performing other hazardous tasks requiring alertness if drowsiness or dizziness occurs. The tablet should not be cut in two or chewed. The drug should also not be taken with an antacid because of a decrease in absorption. Abdominal pain and fever should be reported to the primary health care provider immediately, not ignored.