Chapter 28: Peptides, Antimalarials, and Anthelmintics

Chapter 28: Peptides, Antimalarials, and Anthelmintics

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

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?

a.	An erythrocytic phase
b.	An incubation phase
c.	A prodromal phase
d.	A tissue phase

 

 

ANS:   A

The erythrocytic phase of malarial infection occurs when the parasite invades the red blood cells and is characterized by chills, fever, and sweating.

 

DIF:    Cognitive Level: Remembering (Knowledge)                      REF:    p. 391

TOP:    Nursing Process: Assessment

MSC:   NCLEX: Physiological Integrity: Pathophysiology

 

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?

a.	500 mg weekly beginning 2 weeks prior to travel and continuing for 4 to 8 weeks after travel
b.	1000 mg weekly beginning 2 weeks prior to travel and continuing for 6 to 8 weeks after travel
c.	500 mg once followed by 500 mg per dose in 6 hours, 24 hours, and 48 hours
d.	1000 mg once followed by 500 mg per dose in 6 hours, 24 hours, and 48 hours

 

 

ANS:   A

For malaria prophylaxis, chloroquine is given 500 mg/dose weekly for 2 weeks prior to travel and then weekly until 6 to 8 weeks after exposure. The dosing schedule of 1000 mg once, followed by 500 mg in 6, 24, and 48 hours is used to treat acute malaria.

 

DIF:    Cognitive Level: Remembering (Knowledge)                      REF:    p. 392

TOP:    Nursing Process: Planning

MSC:   NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

 

3. A patient is taking chloroquine (Aralen) to treat acute malaria. Which statement by the patient indicates understanding of this medication?

a.	“I should abstain from alcohol while taking this medication.”
b.	“I should report urine output less than 1000 mL/day.”
c.	“I should report visual changes immediately.”
d.	“I should take this drug on an empty stomach.”

 

 

ANS:   C

Patients taking chloroquine (Aralen) have a risk of visual injury related to side effects of blurred vision and should report visual changes to the provider. One does not need to abstain from alcohol, but if the patient drinks large amounts of alcohol or has a liver disorder, the liver enzymes will require closer monitoring. Patient should report urine output of less than 600 mL/day, and patients should take the drug with food.

 

DIF:    Cognitive Level: Applying (Application)                              REF:    p. 394

TOP:    Nursing Process: Nursing Intervention: Patient Teaching

MSC:   NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

 

4. A patient will take an anthelmintic medication and asks the nurse about side effects. The nurse will tell the patient that anthelmintic drugs

a.	can cause hepatic toxicity.
b.	cause orthostatic hypotension.
c.	commonly have gastrointestinal (GI) side effects.
d.	have many serious adverse reactions.

 

 

ANS:   C

Anthelmintic drugs have many GI side effects, including anorexia, nausea, vomiting, diarrhea, and cramps. Adverse reactions do not occur frequently.

 

DIF:    Cognitive Level: Understanding (Comprehension)               REF:    p. 395

TOP:    Nursing Process: Planning

MSC:   NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

 

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?

a.	“Give your child baths every day.”
b.	“Obtain a daily stool specimen from your child.”
c.	“Wash your child’s clothing in hot water.”
d.	“Your child should wash hands well after using the toilet.”

 

 

ANS:   D

To prevent the spread of pinworms, good hand washing after toileting is recommended. Patients should take showers, not baths. It is not necessary to get regular stool specimens or to wash clothing in hot water.

 

DIF:    Cognitive Level: Applying (Application)                              REF:    p. 396

TOP:    Nursing Process: Nursing Intervention: Patient Teaching

MSC:   NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies