Brown Mackie College - NURSING 1010 Chapter 28: Peptides, Antimalarials, and Anthelmintics MULTIPLE CHOICE 1)A patient who has traveled to an area with prevalent malaria has chills, fever, and diaphoresis

Brown Mackie College - NURSING 1010

Chapter 28: Peptides, Antimalarials, and Anthelmintics

MULTIPLE CHOICE

1)A patient who has traveled to an area with prevalent malaria has chills, fever, and diaphoresis. The nurse recognizes this as which phase of malarial infection?

1. 1. An erythrocytic phase
   2. An incubation phase
   3. A prodromal phase
   4. A tissue phase
2. A patient is preparing to travel to a country with prevalent malaria. To prevent contracting the disease, the provider has ordered chloroquine HCl (Aralen). The nurse will instruct the patient to take this drug according to which schedule?
   1. 500 mg weekly beginning 2 weeks prior to travel and continuing for 4 to 8 weeks after travel
   2. 1000 mg weekly beginning 2 weeks prior to travel and continuing for 6 to 8 weeks after travel
   3. 500 mg once followed by 500 mg per dose in 6 hours, 24 hours, and 48 hours
   4. 1000  mg once followed by 500 mg per dose in 6 hours, 24 hours, and 48 hours
3. A patient is taking chloroquine (Aralen) to treat acute malaria. Which statement by the patient indicates understanding of this medication?
   1. “I should abstain from alcohol while taking this medication.”
   2. “I should report urine output less than 1000 mL/day.”
   3. “I should report visual changes immediately.”
   4. “I should take this drug on an empty stomach.”
4. A patient will take an anthelmintic medication and asks the nurse about side effects. The nurse will tell the patient that anthelmintic drugs

1. can cause hepatic toxicity.
2. cause orthostatic hypotension.
3. commonly have gastrointestinal (GI) side effects.
4. have many serious adverse reactions.

5. A child is being treated for pinworms, and the parent asks the nurse how to prevent spreading this to other family members. What will the nurse tell the parent?
   1. “Give your child baths every day.”
   2. “Obtain a daily stool specimen from your child.”
   3. “Wash your child’s clothing in hot water.”
   4. “Your child should wash hands well after using the toilet.”
6. A child is diagnosed with pinworms. Which anthelmintic drug will the provider order for this child?
   1. Bithionol (Bitin)
   2. Diethylcarbamazine (Hetrazan)
   3. Pyrantel pamoate (Pin Rid)
   4. Praziquantel (Biltricide)
7. The nurse is teaching a patient who is receiving chloroquine (Aralen) for malaria prophylaxis. Which statement by the patient indicates a need for further teaching?
   1. “I may experience hair discoloration while taking this drug.”
   2. “I should not take this drug with lemon juice.”
   3. “I should use sunscreen while taking this drug.”
   4. “If I have gastrointestinal upset, I should take an antacid.”
8. The nurse is preparing to administer an intravenous polymyxin antibiotic. The patient reports dizziness along with numbness and tingling of the hands and feet. The nurse will perform which action?
   1. Administer the drug since these are harmless side effects.
   2. Hold the drug and notify the provider of these adverse reactions.
   3. Obtain an order for an oral form of this medication.
   4. Request an order for serum electrolytes.
9. A young adult female who is taking metronidazole (Flagyl) to treat trichomoniasis calls the nurse to report severe headache, flushing, palpitations, cramping, and nausea. What will the nurse do next?
   1. Ask about alcohol consumption.
   2. Reassure her that these are harmless side effects.
   3. Tell her that this signals a worsening of her infection.
   4. Tell her to go to the emergency department immediately.