Chapter 96: Anthelmintics

Chapter 96: Anthelmintics

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

1. Parents bring their child to the clinic because they suspect the child has pinworms. What education is most important for the nurse to provide to the parents?

ANS:   C

Everyone in the family should be treated, because pinworms are easily spread.

To treat pinworms, an initial dose of mebendazole 100 mg is given, and the dose is repeated in 2 weeks.

The infestation is easily spread.

The treatment is not limited to symptomatic infestations.

DIF:    Cognitive Level: Application             REF:    p. 1146

TOP:    Nursing Process: Implementation

MSC:   NCLEX Client Needs Category: Health Promotion and Maintenance

2. A female college student has been performing community service in a rural area. The student begins feeling lethargic and experiences nausea, vomiting, and abdominal pain. The patient is diagnosed with helminthic infestation. The patient manifests signs and symptoms of ____________. The nurse suspects an infestation of ____________.

ANS:   C

The patient shows signs and symptoms of anemia and has contracted hookworms, which are associated with chronic blood loss and progressive anemia.

Nothing indicates that the patient has gastroenteritis, and roundworms do not cause anemia.

Nothing indicates that the patient is pregnant.

The patient shows no evidence of hemorrhage.

DIF:    Cognitive Level: Analysis                  REF:    p. 1146

TOP:    Nursing Process: Assessment

MSC:   NCLEX Client Needs Category: Physiological Integrity: Pharmacological and Parenteral Therapies

3. What education provided by the nurse would be most important for a patient beginning therapy with thiabendazole (Mintezol)?

ANS:   B

The patient should be instructed to avoid any hazardous activities, because the medication may cause incapacitation.

Thiabendazole should be taken with food to prevent gastrointestinal upset.

Thiabendazole tablets may be chewed.

Thiabendazole will not turn the urine reddish orange.

DIF:    Cognitive Level: Application             REF:    p. 1149

TOP:    Nursing Process: Implementation

MSC:   NCLEX Client Needs Category: Physiological Integrity: Pharmacological and Parenteral Therapies

4. The nurse is providing patient education to a parent whose child has been prescribed liquid pyrantel (Pin-Rid) for hookworms. Which statement by the patient best demonstrates understanding of the administration of this drug?

ANS:   D

The parent should make sure the child drinks the entire dose of pyrantel at one time to facilitate absorption and movement through the bowel to eradicate the worms.

The medication need not be warmed.

The pyrantel should not be mixed with juice, because the child is less likely to drink it.

Giving the child a double dose on the first day is incorrect; nothing indicates that this medication requires a loading dose.

DIF:    Cognitive Level: Application             REF:    p. 1149

TOP:    Nursing Process: Implementation

MSC:   NCLEX Client Needs Category: Physiological Integrity: Pharmacological and Parenteral Therapies