Chapter 8-Antifungal and antiparasitic agents Flashcards Preview

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Flashcards in Chapter 8-Antifungal and antiparasitic agents Deck (30)
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1
Q

Malaria is an example of a disorder caused by:

A

a protozoa

2
Q

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

A

It enters the body and destroys red blood cells.

3
Q

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

A

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

4
Q

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

A

rheumatoid arthritis.

5
Q

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?

A

hemolytic reactions

6
Q

Chloroquine is used primarily in controlling the manifestations of:

A

malaria.

7
Q

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

A

results from ingesting contaminated food and water.

8
Q

Trichomoniasis is a condition commonly manifested in the:

A

vagina.

9
Q

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

A

“You should avoid the use of alcohol.”

10
Q

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

A

stress the importance of completing the entire prescription.

11
Q

The nurse understands that nitazoxanide (Alinia) is:

A

approved to treat giardiasis in children.

12
Q

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

A

Apples can be eaten without being washed.

13
Q

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

A

All sexual partners need to be treated simultaneously.”

14
Q

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

A

assess VS and notify the health care provider immediately.

15
Q

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

A

pinworm.

16
Q

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

A

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

17
Q

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

A

recommend that the client use mouthwash before meals.

18
Q

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?

A

770 mg

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

19
Q

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:

A

25 mL

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

20
Q

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?

A

cardiac arrhythmias

21
Q

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

A

hypokalemia.

22
Q

When preparing amphotericin B, the nurse understands it:

A

will be administered IV.

23
Q

The best time to administer antimalarial medications is:

A

immediately before or after meals

24
Q

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?

A

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

25
Q

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

A

transient abdominal pain

26
Q

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.

A

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

27
Q

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

A

bleeding
seizures
drowsiness
visual disturbances

28
Q

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.

A

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.

29
Q

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

A

hypertension

30
Q

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 _____________

A

2.5 mL

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