Nokea
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.
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A nurse is conducting a class for a local community group about herbal agents. Which of the following would the nurse include as being effective against fungal skin infections?
- A. Tea tree oil
- B. Gingko biloba
- C. Valerian root
- D. Fever few
- E. Garlic
Correct Answer: A,E
Rationale: Tea tree oil and garlic are two herbs that researchers have identified as having antifungal properties to treat skin infections.
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.
A client is planning to travel to an area of the world where malaria is endemic. The physician has given the client a prescription of chloroquine as prophylaxis. Which of the following would the nurse include in the teaching plan for this client about starting and ending therapy?
- A. Begin therapy 1 month before exposure.
- B. Begin therapy 2 weeks before exposure.
- C. Continue therapy 6 to 8 weeks after leaving endemic area.
- D. Continue therapy 1 to 2 weeks after leaving endemic area.
- E. Stop therapy 2 days prior to leaving endemic area.
Correct Answer: B,C
Rationale: The nurse should advise the client to begin malaria prophylaxis therapy 2 weeks before traveling to the endemic area and to continue therapy 6 to 8 weeks after leaving the endemic area.
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.
A nurse is preparing a plan of care for a client who is prescribed an antiparasitic agent. Which nursing diagnosis would the nurse most likely identify related to the client's drug therapy?
- A. Impaired Comfort
- B. Diarrhea
- C. Risk for Ineffective Tissue Perfusion
- D. Risk for Deficient Fluid Volume
- E. Risk for Impaired Respiratory Function
Correct Answer: B,D,E
Rationale: Drug-specific nursing diagnoses when discussing the treatment of parasitic infection include Diarrhea, Risk for Deficient Fluid Volume, Imbalanced Nutrition, and Risk for Impaired Respiratory Function.