Nokea
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.
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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 has been diagnosed with amebiasis. Which of the following would the nurse do regularly when caring for this patient?
- A. Take vital signs every 8 hours
- B. Freeze any stool samples for testing
- C. Avoid foods that acidify the urine
- D. Provide the patient with small, frequent meals
Correct Answer: D
Rationale: The nurse should ensure that the patient has small, frequent meals (five to six daily) because these may be more appealing than three large meals. The nurse should take vital signs every 4 hours, not 8. Stool samples for testing should be maintained at room temperature and not frozen. There is no need to avoid foods that acidify the urine.
The nurse must monitor a client carefully for signs of bleeding when which of the following antifungals is concomitantly administered with warfarin (Coumadin)?
- A. Fluconazole (Diflucan)
- B. Itraconazole (Sporanox)
- C. Ketoconazole (Nizoral)
- D. Griseofulvin (Grisactin)
- E. Voriconazole (Vfend)
Correct Answer: A,B,C,D,E
Rationale: The concomitant administration of fluconazole, itraconazole, ketoconazole, griseofulvin, and voriconazole with warfarin increases the client's risk of bleeding.
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.
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.