Adams4e Tif Ch35

Adams, Pharmacology for Nurse: A Pathophysiologic Approach, 4/E Chapter 35
Question 1 Type: MCMA The nursing instructor teaches the student nurses about fungal infections. The nursing instructor evaluates that learning has occurred when the student nurses make which statements? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. "Superficial infections are more difficult to treat than systemic infections." 2. " ewer medications can be used for superficial as well as systemic infections." 3. "Systemic infections are much more common than superficial infections." 4. "Superficial infections are considered more benign than systemic infections.! 5. "Systemic infections re"uire oral medications that have serious adverse effects." Corre t Ans!er: #$%$& "ationa#e 1' Superficial infections are less difficult$ not more difficult$ to treat than systemic infections. "ationa#e 2' Some of the newer antifungal agents may be used for either superficial or systemic infections. "ationa#e 3' Systemic infections are less$ not more$ common than superficial infections. "ationa#e 4' Superficial infections are relatively benign( systemic infections can be life threatening. "ationa#e 5' Systemic infections often re"uire aggressive oral or parenteral medications that produce more adverse effects than the topical agents. $#o%a# "ationa#e: Co&niti'e (e'e#: Analy)ing C#ient )eed: *hysiological +ntegrity C#ient )eed Su%: *hysiological Adaptation )ursin&/*nte&rated Con epts: ursing *rocess' ,valuation (earnin& +ut ome: -&./ Question 2 Type: MCSA
Adams, Pharmacology for Nurse: A Pathophysiologic Approach, %0, Copyright #1/% by *earson ,ducation$ +nc.
The client has had malaria for many years. 2e asks the nurse why medications might not cure his illness when there are several drugs available. 3hat is the best response by the nurse? 1. "3hen erythrocytes rupture$ the parasites are too numerous for medications to be effective." 2. "4ate in the illness$ the immune system is too overwhelmed for medications to be effective." 3. "5nce the parasite starts multiplying in your liver$ medications are usually ineffective." 4. "3hen cysts occur late in the disease$ the parasite is too resistant for medications to be effective." Corre t Ans!er: % "ationa#e 1' ,rythrocytes rupture early in the course of the illness$ and medications are more effective at this stage. "ationa#e 2' 4ate in the illness$ medications are often ineffective because the parasites are in cysts$ not because the immune system is overwhelmed. "ationa#e 3' The parasites begin multiplying in the liver in the earliest stage of the illness when medications are most effective. "ationa#e 4' 3hen cysts occur inside the host$ the parasite is often resistant to pharmacotherapy. $#o%a# "ationa#e: Co&niti'e (e'e#: Applying C#ient )eed: 2ealth *romotion and Maintenance C#ient )eed Su%: )ursin&/*nte&rated Con epts: ursing *rocess' +mplementation (earnin& +ut ome: -&.% Question 3 Type: MCSA The nurse plans to provide health promotion to a group of business travelers who are going to travel to Africa. 3hat will the best teaching plan by the nurse include? 1. *lan to take antibiotics prophylactically. 2. *lan to take protease inhibitors prophylactically. 3. *lan to receive immuni)ations for malaria. 4. *lan to take antimalarial drugs prophylactically. Corre t Ans!er: %
"ationa#e 1' Antibiotics are not necessary for travel into many countries. "ationa#e 2' *rotease inhibitors for viral infections are not recommended. "ationa#e 3' To date$ there are no effective immuni)ations against malaria. "ationa#e 4' Taking antimalarial drugs prophylactically is recommended when traveling to countries where malaria is found. $#o%a# "ationa#e: Co&niti'e (e'e#: Analy)ing C#ient )eed: *hysiological +ntegrity C#ient )eed Su%: )ursin&/*nte&rated Con epts: ursing *rocess' *lanning (earnin& +ut ome: -&.& Question 4 Type: MCSA The nurse works in infection control at a large hospital. 3hich client does the nurse recogni)e as being at greatest risk for ac"uiring a fungal infection? 1. The client with severe burns over #16 of the body 2. The adolescent client with a fractured femur from an auto accident 3. The client with anemia who is pregnant with triplets 4. The client with malignant melanoma who is receiving chemotherapy Corre t Ans!er: % "ationa#e 1' The client with burns is at risk$ but will not ac"uire the infection if infection control procedures are followed. "ationa#e 2' The adolescent with a fractured femur is not at risk. "ationa#e 3' The pregnant client with anemia is not at risk. "ationa#e 4' Chemotherapy suppresses the immune system( clients with a suppressed immune system are at highest risk. $#o%a# "ationa#e: Co&niti'e (e'e#: Analy)ing C#ient )eed: *hysiological +ntegrity
C#ient )eed Su%: *hysiological Adaptation )ursin&/*nte&rated Con epts: ursing *rocess' ,valuation (earnin& +ut ome: -&.# Question 5 Type: MCSA The nurse does medication education for the client with histoplasmosis who receives ketocona)ole 7 i)oral8. The nurse evaluates that learning has occurred when the client makes which statement? 1. "+ cannot take this medication longer than /1 days." 2. "+ could develop resistance to this medication if + take it too often." 3. "+ could develop nausea$ vomiting$ and abdominal pain with this medication." 4. "+ can9t take my diabetes medicine with this drug." Corre t Ans!er: "ationa#e 1' :etocona)ole 7 i)oral8 is often used for longer than /1 days. "ationa#e 2' 5rganisms$ not people$ develop resistance( this is not a likely occurrence anyway. "ationa#e 3' ausea$ vomiting$ and abdominal pain are common side effects of ketocona)ole 7 i)oral8. "ationa#e 4' The a)ole antifungals may affect glycemic control in diabetic clients. There is no indication to stop medications. $#o%a# "ationa#e: Co&niti'e (e'e#: Analy)ing C#ient )eed: *hysiological +ntegrity C#ient )eed Su%: *harmacological and *arenteral Therapies )ursin&/*nte&rated Con epts: ursing *rocess' ,valuation (earnin& +ut ome: -&.& Question , Type: MCSA The client has scalp ringworm and is being treated with econa)ole 7Specta)ole8. 3hat are the best discharge instructions by the nurse? 1. "3eigh yourself daily while using this medication." 2. "Avoid meat and high protein foods with this medication."
3. ";o not share any towels with family members." 4. "3ash your head at least three times a day for # weeks." Corre t Ans!er: "ationa#e 1' There is no indication of need for daily weights with use of superficial antifungals. "ationa#e 2' There is no reason to restrict protein. "ationa#e 3' <ingworm can be spread by contact with articles such as towels that are used by the affected person. "ationa#e 4' 3ashing the head three times a day is e=cessive and unnecessary while taking econa)ole 7Specta)ole8. $#o%a# "ationa#e: Co&niti'e (e'e#: Analy)ing C#ient )eed: *hysiological +ntegrity C#ient )eed Su%: *harmacological and *arenteral Therapies )ursin&/*nte&rated Con epts: ursing *rocess' +mplementation (earnin& +ut ome: -&.> Question Type: MCSA The client receives nystatin 7 ilstat8 for a fungal infection in the mouth. The nurse plans to do medication education prior to discharge. 3hat will the best plan by the nurse include? 1. ;issolve the oral tablet in your mouth and then swallow it. 2. Take the oral suspension with a straw to prevent tooth discoloration. 3. Crush the oral tablet$ mi= it with orange ?uice$ and then swallow it. 4. Swallow the oral tablet whole without chewing or crushing it. Corre t Ans!er: / "ationa#e 1' ;issolving the tablet in the mouth allows contact of the medication with the organisms causing the infection. "ationa#e 2' The medication does not cause tooth discoloration. "ationa#e 3' The medication must remain in the mouth as long as possible$ so it should not be crushed and mi=ed with li"uids.
"ationa#e 4' The medication must remain in the mouth as long as possible$ so it should not be swallowed whole. $#o%a# "ationa#e: Co&niti'e (e'e#: Analy)ing C#ient )eed: *hysiological +ntegrity C#ient )eed Su%: *harmacological and *arenteral Therapies )ursin&/*nte&rated Con epts: ursing *rocess' *lanning (earnin& +ut ome: -&.> Question . Type: MCMA The client receives amphotericin @ 7Aungi)one8 for histoplasmosis. 3hat does the best assessment by the nurse include? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Serum amylase 2. Serum sodium 3. @lood urea nitrogen 4. Serum glucose 5. Serum creatinine Corre t Ans!er: -$& "ationa#e 1' Amphotericin @ 7Aungi)one8 does not affect serum amylase. "ationa#e 2' Amphotericin @ 7Aungi)one8 does not affect serum sodium. "ationa#e 3' Amphotericin @ 7Aungi)one8 is nephroto=ic$ so serum creatinine and blood urea nitrogen should be monitored. "ationa#e 4' Amphotericin @ 7Aungi)one8 does not affect serum glucose. "ationa#e 5' Amphotericin @ 7Aungi)one8 is nephroto=ic$ so serum creatinine and blood urea nitrogen should be monitored. $#o%a# "ationa#e: Co&niti'e (e'e#: Applying
C#ient )eed: *hysiological +ntegrity C#ient )eed Su%: *harmacological and *arenteral Therapies )ursin&/*nte&rated Con epts: ursing *rocess' Assessment (earnin& +ut ome: -&.B Question / Type: MCSA The client is being treated for pinworms with mebenda)ole 7Cermo=8. The nurse has completed medication education and evaluates that learning has occurred when the client makes which statement? 1. "+ need high.fiber foods to help with passage of the worms." 2. "+ should chew this tablet." 3. "+ must avoid aspirin while + am on this medication." 4. "+ need to have three negative stool cultures before + am cured." Corre t Ans!er: # "ationa#e 1' ;iet will not impact the passage of worms. "ationa#e 2' The drug is most effective when chewed. "ationa#e 3' There is no interaction between mebenda)ole 7Cermo=8 and aspirin. "ationa#e 4' Stool cultures are not necessary. $#o%a# "ationa#e: Co&niti'e (e'e#: Analy)ing C#ient )eed: *hysiological +ntegrity C#ient )eed Su%: *harmacological and *arenteral Therapies )ursin&/*nte&rated Con epts: ursing *rocess' ,valuation (earnin& +ut ome: -&.B Question 10 Type: MCSA The female client has a fungal infection and will receive nystatin 7Mycostatin8. 3hat assessment data is critical for the nurse to collect prior to administering this medication? 1. The type of diet the client is eating 2. The amount of fat in the clientDs diet
3. The type of birth control the client is using 4. The clientDs height and weight Corre t Ans!er: "ationa#e 1' The type of diet the client consumes is not significant. "ationa#e 2' The type of diet the client consumes is not significant. "ationa#e 3' ystatin 7Mycostatin8 is a *regnancy Category C drug$ which means there isnDt any data to indicate it is safe to take during pregnancy. "ationa#e 4' The clientDs height and weight are not significant. $#o%a# "ationa#e: Co&niti'e (e'e#: Analy)ing C#ient )eed: *hysiological +ntegrity C#ient )eed Su%: *harmacological and *arenteral Therapies )ursin&/*nte&rated Con epts: ursing *rocess' Assessment (earnin& +ut ome: -&.B Question 11 Type: MCSA The client is noncompliant with taking medications to prevent malaria prior to an overseas business trip. 3hat will the best assessment by the nurse reveal? 1. The taste of the various tablets was really too offensive to the client. 2. The medication dosing was too fre"uent for the client to tolerate. 3. The cost of the medications was too high for the clientDs budget. 4. The side effects of vomiting and diarrhea were too uncomfortable. Corre t Ans!er: % "ationa#e 1' The medication is not coated$ but the taste is not a significant factor. "ationa#e 2' Esually the dosing is once weekly or once daily( it is not too fre"uent for a client to tolerate. "ationa#e 3' The cost of the medication is not a factor( generic forms are available. "ationa#e 4' Side effects$ such as vomiting and diarrhea$ can be severe after taking the medication.
$#o%a# "ationa#e: Co&niti'e (e'e#: Analy)ing C#ient )eed: *hysiological +ntegrity C#ient )eed Su%: *harmacological and *arenteral Therapies )ursin&/*nte&rated Con epts: ursing *rocess' Assessment (earnin& +ut ome: -&.Question 12 Type: MCSA The client has a fungal infection of the toenails and receives oral terbinafine 74amisil8. The client asks the nurse how a pill will heal his nail infection. 3hat is the best response by the nurse? 1. "The medication accumulates in your nail beds and is there for many months." 2. "The medication should be combined with a topical agent to increase effectiveness." 3. "The medication works by destroying to=ins e=creted by the fungi in your nails." 4. "The medication works by destroying circulating fungi in your blood." Corre t Ans!er: / "ationa#e 1' Terbinafine 74amisil8 is an oral agent that has the advantage of accumulating in nail beds$ allowing it to remain active many months after therapy is discontinued. "ationa#e 2' Terbinafine 74amisil8 does not need to be combined with a topical agent. "ationa#e 3' Terbinafine 74amisil8 does not destroy to=ins e=creted by fungi. "ationa#e 4' Terbinafine 74amisil8 does not destroy circulating fungi in the blood. $#o%a# "ationa#e: Co&niti'e (e'e#: Applying C#ient )eed: *hysiological +ntegrity C#ient )eed Su%: *harmacological and *arenteral Therapies )ursin&/*nte&rated Con epts: ursing *rocess' +mplementation (earnin& +ut ome: -&.> Question 13 Type: MCSA The client receives oral nystatin 7Mycostatin8 suspension for an oral candidiasis infection. She tells the nurse she cannot continue to "swish and swallow" because her nausea is too great. 3hat is the best response by the nurse?
1. "+ will ask your doctor if a pill form can be substituted." 2. "Try drinking a >.Ep after you swallow the medication." 3. "+t is all right to swish the medication and then spit it out." 4. "Fou can take a phenergan suppository before the nystatin 7Mycostatin8." Corre t Ans!er: "ationa#e 1' +f G+ side effects are disturbing$ the client may swish the medication and then spit it out. A phenergan suppository is not necessary. ;rinking a >.Ep is not necessary. Substituting a tablet form is not necessary. "ationa#e 2' +f G+ side effects are disturbing$ the client may swish the medication and then spit it out. A phenergan suppository is not necessary. ;rinking a >.Ep is not necessary. Substituting a tablet form is not necessary. "ationa#e 3' +f G+ side effects are disturbing$ the client may swish the medication and then spit it out. A phenergan suppository is not necessary. ;rinking a >.Ep is not necessary. Substituting a tablet form is not necessary. "ationa#e 4' +f G+ side effects are disturbing$ the client may swish the medication and then spit it out. A phenergan suppository is not necessary. ;rinking a >.Ep is not necessary. Substituting a tablet form is not necessary. $#o%a# "ationa#e: Co&niti'e (e'e#: Analy)ing C#ient )eed: *hysiological +ntegrity C#ient )eed Su%: *harmacological and *arenteral Therapies )ursin&/*nte&rated Con epts: ursing *rocess' +mplementation (earnin& +ut ome: -&.B Question 14 Type: MCSA The client receives terbinafine 74amisil8 as treatment for a fungal infection of the toenails. 3hat is an important assessment "uestion for the nurse to ask? 1. "Are you 2+C.positive?" 2. "2ow do you clean and clip your toenails?" 3. ";o you have diabetes mellitus?" 4. "3hat analgesic do you take for headaches?"
Corre t Ans!er: % "ationa#e 1' Terbinafine 74amisil8 is not contraindicated for a client who is 2+C.positive. "ationa#e 2' 2ow the client cleans and clips his toenails is not significant. "ationa#e 3' Terbinafine 74amisil8 does not affect glucose levels. "ationa#e 4' Clients must be instructed not to use acetaminophen 7Tylenol8 while receiving terbinafine 74amisil8$ because terbinafine 74amisil8 is hepatoto=ic and so is acetaminophen 7Tylenol8 in large enough "uantities. $#o%a# "ationa#e: Co&niti'e (e'e#: Analy)ing C#ient )eed: *hysiological +ntegrity C#ient )eed Su%: *harmacological and *arenteral Therapies )ursin&/*nte&rated Con epts: ursing *rocess' Assessment (earnin& +ut ome: -&.> Question 15 Type: MCSA Superficial fungal infections differ from systemic fungal infections in that superficial fungal infections 1. can be fatal. 2. affect hair and skin. 3. are less common. 4. affect internal organs. Corre t Ans!er: # "ationa#e 1' Systemic fungal infections can be fatal. "ationa#e 2' Superficial fungal infections affect hair$ skin$ nails$ and mucous membranes. "ationa#e 3' Systemic fungal infections are less common than are superficial ones. "ationa#e 4' Systemic fungal infections affect internal organs. $#o%a# "ationa#e: Co&niti'e (e'e#: <emembering C#ient )eed: *hysiological +ntegrity C#ient )eed Su%:
)ursin&/*nte&rated Con epts: (earnin& +ut ome: -&./ Question 1, Type: MCSA 3hich client is at the greatest risk of ac"uiring a serious fungal infection? 1. A teenager with no health problems 2. A client with a history of heart problems 3. A client with diabetes mellitus 4. A client who is immunosuppressed Corre t Ans!er: % "ationa#e 1' A teenager with no health problems is most likely resistant to a serious fungal infection. "ationa#e 2' A client with heart problems most likely is resistant to a serious fungal infection. "ationa#e 3' A client with diabetes mellitus can ac"uire an infection$ but most likely not a serious one. "ationa#e 4' Clients who are immunosuppressed$ such as 2+C or organ transplant clients$ are very non.resistant to serious infections. $#o%a# "ationa#e: Co&niti'e (e'e#: Enderstanding C#ient )eed: *hysiological +ntegrity C#ient )eed Su%: )ursin&/*nte&rated Con epts: (earnin& +ut ome: -&.# Question 1Type: MCSA Treatment for malaria involves 1. multi.drug therapy. 2. single.drug therapy. 3. dietary restrictions. 4. topical drug therapy.
Corre t Ans!er: / "ationa#e 1' Multi.drug therapy is the treatment of choice due to the life cycle of the proto)oan parasite. "ationa#e 2' The treatment of choice is multi.drug therapy. "ationa#e 3' ;ietary restrictions are not treatment. "ationa#e 4' Topical therapy would be ineffective due to the infestation of the parasite in the red blood cells. $#o%a# "ationa#e: Co&niti'e (e'e#: <emembering C#ient )eed: *hysiological +ntegrity C#ient )eed Su%: )ursin&/*nte&rated Con epts: (earnin& +ut ome: -&.% Question 1. Type: MCSA The nurse is preparing to administer a topical$ oral antifungal medication to an adult client. The nurse will administer the medication 1. alone$ and will allow the client to swish and swallow the medication. 2. with other medications. 3. with milk. 4. with water. Corre t Ans!er: / "ationa#e 1' Medication should be swished and swallowed and swished and spit without anything else in the mouth. "ationa#e 2' 5ther medications should be given before or after antifungal medications. "ationa#e 3' The client should wait at least /1 minutes after antifungal treatment to put anything else in the mouth. "ationa#e 4' The client should wait at least /1 minutes after antifungal treatment to put anything else in the mouth. $#o%a# "ationa#e:
Co&niti'e (e'e#: Enderstanding C#ient )eed: *hysiological +ntegrity C#ient )eed Su%: *harmacological and *arenteral Therapies )ursin&/*nte&rated Con epts: ursing *rocess' +mplementation (earnin& +ut ome: -&.> Question 1/ Type: MCSA The drug that most likely will be used for treatment of Trichomonas vaginalis is 1. pra)i"uantel 7@iltricide8. 2. pyrimethamine 7;araprim8. 3. suramin 7Germanin8. 4. metronida)ole 7Alagyl8. Corre t Ans!er: % "ationa#e 1' *ra)i"uantel 7@iltricide8 is an anthelmintic effective against flatworms. "ationa#e 2' *yrimethamine 7;araprim8 is an antimalarial drug. "ationa#e 3' suramin 7Germanin8 is used for African sleeping sickness. "ationa#e 4' Metronida)ole is the drug of choice for both giardiasis and trichomoniasis due to Trichomonas vaginalis. $#o%a# "ationa#e: Co&niti'e (e'e#: <emembering C#ient )eed: *hysiological +ntegrity C#ient )eed Su%: )ursin&/*nte&rated Con epts: (earnin& +ut ome: -&.B Question 20 Type: MCSA The mechanism of action of systemic antifungal agents is to 1. interfere with the synthesis of ergosterol in the fungal cell membrane. 2. bind to to=ic levels of parasite in the red blood cells.
3. bind to steroids in the fungal cell membrane. 4. kill fungal growth. Corre t Ans!er: / "ationa#e 1' Systemic antifungal agents interfere with the synthesis of ergosterol in the fungal cell membrane$ causing them to become permeable. "ationa#e 2' Antiproto)oal drugs bind to to=ic levels of parasite in the red blood cells. "ationa#e 3' Superficial fungal agents bind to sterols in the fungal cell membrane$ allowing leakage of contents. "ationa#e 4' one of these agents will kill the fungal growth. $#o%a# "ationa#e: Co&niti'e (e'e#: <emembering C#ient )eed: *hysiological +ntegrity C#ient )eed Su%: )ursin&/*nte&rated Con epts: (earnin& +ut ome: -&.B Question 21 Type: MCMA A client is receiving amphotericin @. The nurse will reinforce teaching by telling the client that he should report which symptoms? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Aeeling hot 2. 2earing loss 3. ;i))iness 4. Constipation 5. 2eartburn Corre t Ans!er: /$#$"ationa#e 1' Many clients develop fever and chills at the beginning of therapy.
"ationa#e 2' Amphotericin @ can cause ototo=icity. "ationa#e 3' Certigo can occur due to ototo=icity which may occur with amphotericin @. "ationa#e 4' Constipation is not associated with amphotericin @. "ationa#e 5' 2eartburn is not associated with amphotericin @. $#o%a# "ationa#e: Co&niti'e (e'e#: Applying C#ient )eed: *hysiological +ntegrity C#ient )eed Su%: *harmacological and *arenteral Therapies )ursin&/*nte&rated Con epts: ursing *rocess' +mplementation (earnin& +ut ome: -&.B Question 22 Type: MCMA A client receives metronida)ole 7Alagyl8 for treatment of a vaginal yeast infection. 3hat should the nurse include in medication education for this client? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. ;o not drink alcohol with this medication. 2. ;o not take this medication with milk or milk products. 3. ;rink at least -$111 m4 of fluid per day with this medication. 4. ;o not become pregnant while taking this medication. 5. Fou may e=perience a metallic taste while on this medication. Corre t Ans!er: /$%$& "ationa#e 1' The interaction of metronida)ole and alcohol causes severe nausea$ vomiting$ and abdominal pain. "ationa#e 2' There is no interaction between this medication and milk or milk products. "ationa#e 3' +ncreasing fluids is not necessary. "ationa#e 4' This medication is contraindicated during the first trimester of pregnancy. "ationa#e 5' ;ryness of the mouth and an unpleasant metallic taste may be e=perienced.
$#o%a# "ationa#e: Co&niti'e (e'e#: Applying C#ient )eed: *hysiological +ntegrity C#ient )eed Su%: *harmacological and *arenteral Therapies )ursin&/*nte&rated Con epts: ursing *rocess' +mplementation (earnin& +ut ome: -&.B Question 23 Type: MCMA An infant is prescribed flucona)ole 7;iflucan8 for treatment of infant oral candidiasis or thrush. 3hich information should the nurse provide to the infant9s caregiver in regard to this medication? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Give the medication right before a feeding. 2. Give the infant a small amount of water prior to administering the medication. 3. Ese a dosage syringe to place medication in several parts of the infant9s mouth. 4. The infant should not breastfeed until this infection is gone. 5. The breastfeeding mother may also re"uire treatment. Corre t Ans!er: #$-$& "ationa#e 1' The medication should be given after feeding. "ationa#e 2' The medication will be more effective if milk sugars and proteins in the mouth are rinsed away prior to administration. "ationa#e 3' The infant cannot Hswish and swallow! so a syringe is used to distribute the medication around the mouth. "ationa#e 4' There is no prohibition against breastfeeding. "ationa#e 5' This treatment may be necessary to prevent re.transmission. $#o%a# "ationa#e: Co&niti'e (e'e#: Applying C#ient )eed: *hysiological +ntegrity C#ient )eed Su%: *harmacological and *arenteral Therapies
)ursin&/*nte&rated Con epts: ursing *rocess' +mplementation (earnin& +ut ome: -&.& Question 24 Type: MCMA A mother calls the emergency department and says$ HMy &.year.old ?ust took four chloro"uine 7Aralen8 that my husband was prescribed because he is going to Africa.! 3hat should the nurse advise? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. HThere should be no adverse effects.! 2. H3atch your child for nausea or vomiting.! 3. H@ring your child to the emergency department immediately.! 4. HCall I// and watch your child for sei)ure activity until they arrive.! 5. HThere should be no problem unless your child has kidney disease.! Corre t Ans!er: -$% "ationa#e 1' 5verdose of chloro"uine is serious. "ationa#e 2' ausea and vomiting is an adverse effect of this medication$ but this is not the advice that should be given. "ationa#e 3' 5verdose of chloro"uine may be fatal. "ationa#e 4' Convulsions may occur with this drug. The child should be brought to the ,;. "ationa#e 5' 5verdose of chloro"uine can be fatal$ especially in children. $#o%a# "ationa#e: Co&niti'e (e'e#: Applying C#ient )eed: *hysiological +ntegrity C#ient )eed Su%: *harmacological and *arenteral Therapies )ursin&/*nte&rated Con epts: ursing *rocess' +mplementation (earnin& +ut ome: -&.B Question 25 Type: MCMA
A client has been prescribed a topical antifungal medication for treatment of ringworm. 3hat teaching should the nurse provide? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Avoid alcohol while using this medication. 2. Scrub the area vigorously prior to applying the medication. 3. Cover the area with an occlusive dressing after applying the medication. 4. Apply a thin layer of the medication. 5. After applying the medication$ let the area air.dry. Corre t Ans!er: %$& "ationa#e 1' 5ral antifungal medications re"uire avoidance of alcohol. The same is not true of topicals. "ationa#e 2' Cigorous scrubbing should be avoided. "ationa#e 3' 5cclusive dressings should be avoided. "ationa#e 4' 5nly a thin$ even layer is necessary. "ationa#e 5' The area should be allowed to air.dry and loose.fitting clothing should be worn. $#o%a# "ationa#e: Co&niti'e (e'e#: Applying C#ient )eed: *hysiological +ntegrity C#ient )eed Su%: )ursin&/*nte&rated Con epts: ursing *rocess' +mplementation (earnin& +ut ome: -&.>

Adams4e Tif Ch35

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Adams, Pharmacology for Nurse: A Pathophysiologic Approach, 4/E Chapter 35

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