Chapter 8-Antifungal and antiparasitic agents

Question 1

Malaria is an example of a disorder caused by:

Answer 1

a protozoa

Question 2

Which of the following is true of the organism that causes malaria?

Answer 2

It enters the body and destroys red blood cells.

Question 3

A client is prescribed quinine for malaria. The nurse should monitor the client for:

Answer 3

tinnitus.This is a manifestation of cinchonism, a common adverse effect of quinine.

Question 4

In addition to its use as an antimalarial compound, chloroquine (Aralen) also is employed in the treatment of

Answer 4

rheumatoid arthritis.

Question 5

You are assigned to a Greek client who is currently receiving the antimalarial agent primaquine. The nurse should closely monitor the client for which of the following life-threatening reactions?

Answer 5

hemolytic reactions

Question 6

Chloroquine is used primarily in controlling the manifestations of:

Answer 6

malaria.

Question 7

When caring for clients with amebiasis, the nurse understands that amebiasis most commonly:

Answer 7

results from ingesting contaminated food and water.

Question 8

Trichomoniasis is a condition commonly manifested in the:

Answer 8

vagina.

Question 9

When teaching a client using metronidazole (Flagyl), the nurse should include:

Answer 9

“You should avoid the use of alcohol.”

Question 10

When teaching clients with trichomonal infections beginning drug therapy for the infection, the nurse should:

Answer 10

stress the importance of completing the entire prescription.

Question 11

The nurse understands that nitazoxanide (Alinia) is:

Answer 11

approved to treat giardiasis in children.

Question 12

Which of the following statements made by the client indicates a need for more teaching by the nurse concerning prevention of reinfestation with parasites?

Answer 12

Apples can be eaten without being washed.

Question 13

Which of the following statements by the client indicates an understanding of the safe use of metronidazole for treatment of trichomonal infections?

Answer 13

All sexual partners need to be treated simultaneously.”

Question 14

The client is receiving quinidine and now drowsily complains of headaches and visual disturbances. The nurse should:

Answer 14

assess VS and notify the health care provider immediately.

Question 15

Enterobiasis is treated with pyrantel pamoate or mebendazole. The common name for this infestation is:

Answer 15

pinworm.

Question 16

A client receiving medication for malaria says he feels “fine” but complains of frequent nosebleeds. The nurse’s first action should be:

Answer 16

assess when the nosebleeds began. to see if their occurrence relates to when the client began therapy for malaria.

Question 17

A client taking metronidazole complains of a metallic taste in her mouth, which decreases her appetite. The nurse should:

Answer 17

recommend that the client use mouthwash before meals.

Question 18

A client is prescribed pyrantel pamoate. The recommended dosing for pyrantel pamoate is a maximum of 11 mg/kg/single dose. What is the safe dose for a client weighing 154 pounds?

Answer 18

770 mg

Convert 154 pounds to kg = 70 kg; then multiply by 11 mg = 770 mg

Question 19

A 13-year-old pediatric client is prescribed 500 mg nitazoxanide po every 12 hours for 3 days for giardiasis. Nitazoxanide is packaged 100 mg/5 mL after reconstitution. The client should receive:

Answer 19

25 mL

Divide 500 mg by 100 mg = 5; multiplied by 5 mL = 25 mL/dose.

Question 20

A client is prescribed quinidine for the treatment of malaria. The nurse understands that this medication may also be used for which of the following conditions?

Answer 20

cardiac arrhythmias

Question 21

The nurse should monitor clients receiving amphotericin B (Fungizone) for:

Answer 21

hypokalemia.

Question 22

When preparing amphotericin B, the nurse understands it:

Answer 22

will be administered IV.

Question 23

The best time to administer antimalarial medications is:

Answer 23

immediately before or after meals

Question 24

The parent of a child has been asked to bring a stool specimen from the child for testing for worm infestation. Which of the following would NOT be appropriate information for the nurse to give to the parent?

Answer 24

The stool specimen should be collected after the child has been given a laxative.

Question 25

The client is receiving the anthelmintic agent Vermox. The nurse would monitor the client for the most common adverse effect, which is:

Answer 25

transient abdominal pain

Question 26

For a client receiving medications to treat dermatological parasites, the nurse plans the client’s care based on which of the following nursing diagnoses? Select all that apply.

Answer 26

risk for altered skin integrity related to pruritis
risk for infection related to transmission of current infection
risk for injury related to adverse effects of medications
deficient knowledge related to infection process and treatment

Question 27

In assessing a client for toxicity while receiving antimalarial agents, the nurse should observe for which of the following? Select all that apply.

Answer 27

bleeding
seizures
drowsiness
visual disturbances

Question 28

The client is receiving Vfend, the antifungal agent. Which of the following instructions would be appropriate for the nurse to provide to the client during client teaching? Select all that apply.

Answer 28

Liver function will be monitored.
Avoid prolonged sun exposure.
Oral medication should be taken 1 hour before or 2 hours after a meal.
Avoid activities that require mental alertness until drug effects are known.
If rash occurs, stop taking the medication and notify the health care provider.
Use reliable contraception.

Question 29

Which of the following would NOT be expected adverse effects for the antimalarial agent Malarone? Select all that apply.

Answer 29

hypertension

Question 30

The health care provider orders Noxafil 100 mg po b.i.d. as a loading dose. Available is 40 mg/mL. The dosage would be _____________

Answer 30

2.5 mL

40 mg/mL = 100 mg/x mL; 100 divided by 40 = 2.5 mL/dose