Nokea
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.
You may also like to solve these questions
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.
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 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.
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.
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.