Nokea
The primary health care provider has prescribed quinine for a client. The patient is also taking warfarin. Which of the following would be most important for the nurse to keep in mind about this combination when providing care to the patient?
- A. Quinine absorption is increased.
- B. Metabolism of quinine is increased.
- C. The patient is at increased risk for bleeding.
- D. The patient's risk for a heart attack is increased.
Correct Answer: C
Rationale: Combining warfarin with quinine increases the risk of bleeding. There is no risk of increased absorption or increased metabolism and no increased risk of heart attack associated with taking warfarin and quinine.
You may also like to solve these questions
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.
Which of the following should be included in the teaching plan when instructing a female client on the use of miconazole (Monistat) vaginal cream?
- A. Discontinue drug during the menstrual period.
- B. Avoid nylon and tight-fitting garments to avoid reinfection.
- C. Wear a sanitary napkin after insertion to prevent staining of clothes and bed linens.
- D. Do not have intercourse while taking the drug to avoid reinfection.
- E. If there is no improvement in 2 days, stop using the drug and consult a physician.
Correct Answer: B,C,D
Rationale: When instructing a female client on the use of miconazole (Monistat) vaginal cream, the nurse should include the following: inserting the drug high in the vagina using the applicator provided: wearing a sanitary napkin after insertion of the drug to prevent staining of clothes and bed linens; continuing the drug during the menstrual period; not having intercourse while taking the drug or advising her partner to use a condom to avoid reinfection; avoiding nylon and tight-fitting garments to avoid reinfection; stopping the drug and notifying the primary health care provider if there is no improvement in 5 to 7 days; and if abdominal pain, pelvic pain, rash, fever, or offensive-smelling vaginal discharge is present, not using the drug but notifying the physician.
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.
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 group of nursing students are reviewing information about clotrimazole vaginal preparations. The students demonstrate understanding of the drug when they identify which of the following as a trade name for the drug?
- A. Lotrimin
- B. Monistat
- C. Vagistat-1
- D. Terazol
- E. Mycelex
Correct Answer: A,E
Rationale: Lotrimin and Mycelex are trade names for clotrimazole vaginal preparations. Monistat is the trade name for miconazole. Vagistat-1 is the trade name for tioconazole. Terazol is the trade name for terconazole.