Chapter 43: Antimalarial, Antiprotozoal, and Anthelmintic Drugs - Nurselytic

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Pharmacology and the Nursing Process 10th Edition Test Bank

Chapter 43 : Antimalarial, Antiprotozoal, and Anthelmintic Drugs Questions

Question 1 of 5

Hydroxychloroquine is prescribed as part of malaria prophylaxis for a patient who will be traveling. The nurse will discuss which potential adverse effects with the patient? (Select all that apply.)

Correct Answer: A,D,E,F

Rationale: Diarrhea, anorexia, nausea, vomiting, dizziness, rash, and headache are potential adverse effects of hydroxychloroquine. Myalgia and insomnia are not adverse effects of this drug.

Question 2 of 5

A patient with Pneumocystis jirovecii pneumonia will be receiving pentamidine as an intravenous piggyback (IVPB) dose. The medication has been added to a 100-mL bag of D5W for the infusion, and it needs to infuse over 120 minutes. The nurse will set the infusion pump to infuse at what rate for this IVPB medication?

Correct Answer: 50 mL/hr

Rationale: First, convert 120 minutes to hours because the infusion pump will infuse at a milliliter per hour rate. 120 minutes ?? (1 hour / 60 minutes) = 2 hours. 100 mL ?· 2 hours = 50 mL/hr.

Question 3 of 5

A patient who has a helminthic infection has a prescription for pyrantel. Which is one of the common adverse effects that the patient may experience while on this therapy?

Correct Answer: C

Rationale: Diarrhea and abdominal pain are some of the possible gastrointestinal effects of pyrantel. The other options are incorrect.

Question 4 of 5

A patient has an infestation with flukes (trematodes). The nurse anticipates the use of which drug to treat this infestation?

Correct Answer: A

Rationale: Praziquantel is an anthelmintic that is used to kill flukes (trematodes). Metronidazole is used to treat protozoal infections. The other drugs listed are used for other helminthic infestations.

Question 5 of 5

A patient who is being treated for malaria has started therapy with quinine and tetracycline. He asks the nurse why he is on an antibiotic when malaria is caused by a parasite. Which response by the nurse is correct?

Correct Answer: D

Rationale: The combination of quinine and tetracycline takes advantage of their synergistic protozoacidal effects. The other responses are incorrect.

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