Pharmacology And the Nursing Process, 8th Edition by Linda Lane Lilley
Pharmacology And the Nursing Process, 8th Edition by Linda Lane Lilley
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Chapter 43: Antimalarial, Antiprotozoal, and Anthelmintic Drugs
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | Vertigo |
| b. | Seizures |
| c. | Diarrhea |
| d. | Insomnia |
ANS: C
Diarrhea and abdominal pain are some of the possible gastrointestinal effects of pyrantel. See Table 43-11 for other adverse effects. The other options are incorrect.
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p. 688
TOP: NURSING PROCESS: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
| a. | Praziquantel (Biltricide) |
| b. | Pyrantel (Pin-X) |
| c. | Metronidazole (Flagyl) |
| d. | Ivermectin (Stromectol) |
ANS: A
Praziquantel is an anthelmintic that is used to kill flukes. Metronidazole is used to treat protozoal infections. The other drugs listed are used for other helminthic infestations.
DIF: COGNITIVE LEVEL: Understanding (Comprehension) REF: p. 687
TOP: NURSING PROCESS: Planning
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
| a. | “The tetracycline prevents reinfection by the malarial parasite.” |
| b. | “The antibiotic is combined with quinine to reduce the side effects of the quinine.” |
| c. | “An antibacterial drug prevents the occurrence of superinfection during antimalarial therapy.” |
| d. | “The two drugs are more effective against malaria when given together.” |
ANS: D
The combination of quinine and tetracycline takes advantage of their synergistic protozoacidal effects. The other responses are incorrect.
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 681
TOP: NURSING PROCESS: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies
| a. | Hydroxychloroquine is better absorbed and has fewer adverse effects if taken on an empty stomach. |
| b. | The drug is started 3 weeks before exposure but can be discontinued once she leaves the area. |
| c. | The medication is taken only when she observes mosquito bites because it can have toxic effects if taken unnecessarily. |
| d. | The drug is usually started 1 to 2 weeks before traveling to endemic areas and is continued for 4 weeks after leaving the area. |
ANS: D
Prophylaxis of malaria with hydroxychloroquine is usually started 1 to 2 weeks before exposure and continued for 4 weeks after the person has left the area. The medication should be taken with food to decrease gastrointestinal upset.
DIF: COGNITIVE LEVEL: Applying (Application) REF: p. 683
TOP: NURSING PROCESS: Implementation
MSC: NCLEX: Physiological Integrity: Reduction of Risk Potential
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