The patient is having an acute malarial attack with chills and fever. The nurse knows chills and fever Rupture of red blood cells due to invasion of merozoites The chills and fever associated with an acute malarial attack are caused by the rupture of red blood The nurse is caring for a patient of Greek descent who plans to travel to an area of the world in which Glucose-6-phosphate dehydrogenase (G6PD) deficiency Patients of Mediterranean descent, including Greeks, are more likely
to have a G6PD deficiency. When The nurse is caring for a patient who is being treated with quinine (Qualaquin) for drug-resistant Vomiting, tinnitus, and vertigo Patients with cinchonism or quinine toxicity may complain of tinnitus, headache, dizziness, nausea, Patients receiving chloroquine (Aralen Phosphate) for malaria prophylaxis should receive patient Eye exams Chloroquine is associated with visual disturbances and a patient receiving this drug should receive A 28-year-old woman is planning to be part of a mission team going to Central Africa. She will take Use contraceptives to avoid pregnancy.
Mefloquine is teratogenic and should be avoided during pregnancy. The nurse will want to determine The nurse is
writing a plan of care for a patient receiving antimalarial drug therapy. What nursing Disturbed sensory perception (visual) related to central nervous system effects Visual disturbances, including blindness related to retinal damage from the drug, may occur. Patients During a lecture on intestinal parasites, the students learn that what is the most commonly diagnosed Giardiasis The most commonly diagnosed intestinal parasite in the United States is Giardiasis. It is transmitted A patient has been diagnosed with trichomoniasis. Before beginning tinidazole (Tindamax) therapy, Use of alcohol Tinidazole is prescribed for trichomoniasis, which is transmitted during sexual intercourse. The drug The nurse is caring
for a patient with acquired immunodeficiency syndrome (AIDS) who has been Pentamidine Pentamidine is available as an inhalation product for the direct treatment ofP. jiroveci in patients with A patient with giardiasis is being treated with metronidazole. What comment by the patient would I can continue to work delivering pizza because the disease is not contagious. Although giardiasis is not contagious, the patient
should be encouraged not to drive or operate heavy During
treatment of amebiasis with chloroquine (Aralen Phosphate), the nurse assesses the patient for Diarrhea With amebicides, observe for anorexia, nausea, vomiting, epigastric burning, and diarrhea that can lead The clinic nurse provides teaching for a patient prescribed pyrimethamine (Daraprim) to prevent Diarrhea, fatigue, weight loss, and anemia If signs of folate deficiency develop, pyrimethamine will need to be discontinued so the prescriber The mother of a 6-month-old infant comes to the clinic. The mother is diagnosed with a protozoal Whether she is breast-feeding Assess for lactation because antiprotozoal drugs could enter
the breast milk and be toxic to the infant. The other options are part of a complete nursing history but do not specifically relate to treatment for a A patient is prescribed mefloquine (Lariam) for malaria prophylaxis. When should the nurse instruct 1 week prior to entering an endemic area Lariam should be taken 1 week prior to entering a malarial area.
Therefore, options B, C, and D are What statements made by the 36-year-old patient leads the nurse to believe that he or she has I will not drink alcohol while I am taking this medication. Patients should avoid all forms of alcohol while taking metronidazole. Patients do not need to avoid The emergency room nurse admits a patient suspected of having giardiasis. What symptoms would the Pale and mucous-filled stool Diarrhea, rotten-egg-smelling stool, and pale and mucous-filled stool are commonly seen. Diarrhea is A 91-year-old man is being treated for Pneumocystis carinii pneumonia with pentamidine (NebuPent). Liver function tests Patients receiving antiprotozoal agents should be monitored regularly to detect any serious adverse What is the priority teaching point to be provided by the nurse to a patient being treated for Sexual partners should be treated. Trichomoniasis is usually spread during sexual intercourse and men often have no symptoms. Women How does the nurse teach the patient to take chloroquine (Aralen Phosphate)? With meals Chloroquine should be taken with meals to reduce gastrointestinal (GI) upset; small frequent meals may The nurse, learning about malaria, discovers that the transmission of malaria occurs when what is Sporozoites Gametocytes are sucked with the blood from an infected person by the mosquito. The gametocytes The nurse is caring for a
patient who is taking antimalarial medications. The nurse teaches the patient Loss of vision Report blurring of vision, which could indicate retinal damage; loss of hearing or ringing in the ears, which could indicate central nervous system toxicity; and fever or worsening of condition, which
could
The nurse is caring for a patient who just returned from a trip to South America and was infected by the Chagas' disease, which is caused by T. cruzi, is passed to humans by the common house fly. This A patient with malaria is taking primaquine. What would indicate to the nurse caring for this patient Vertigo Cinchonism (nausea, vomiting, tinnitus, and vertigo) may occur with high levels of primaquine. A
patient has been prescribed an antimalarial as prophylaxis for the disease. What assessment finding Dyspepsia Nausea, vomiting, dyspepsia, and anorexia are associated with direct effects of the antimalarial A patient presents at the emergency department complaining of sudden onset of high fever and swelling Plasmodium falciparum P. falciparum is considered to be the most dangerous type of protozoan. Infection with this protozoan Pyrimethamine (Daraprim) has been ordered for the patient as prophylactic treatment of malaria. The Blocking the use of folic acid Pyrimethamine is used in combination with agents that act more rapidly to suppress malaria; it acts by A patient, recently returned from a vacation in the tropics, is diagnosed with
leishmaniasis. The patient You got this disease from the bites of sand flies. Leishmaniasis is a disease caused by a protozoan that is passed from sand flies to humans. Therefore, all other answers are incorrect. The patient, newly diagnosed with African sleeping sickness, asked what caused the disease. What is Trypanosoma brucei gambiense African sleeping sickness, which is caused by Trypanosoma brucei gambiense, is transmitted by the The patient, a physician returning from a trip to the tropics, is prescribed chloroquine and asks the Changes the metabolic pathways necessary for the reproduction of the plasmodium Chloroquine is currently the mainstay of antimalarial therapy. This drug enters human red blood cells What antimalarial medication is used as a radical cure ofPlasmodium vivax malaria? Primaquine Primaquine (generic) is the
only drug indicated for the prevention of relapses ofP. vivax and P. malariae infections and a radical cure of P. vivax malaria. It may be given in combination with other The nurse, working in a pediatric clinic, admits a patient who will be traveling to a country where Call the Centers for Disease Control and Prevention (CDC) or local health department for the Although dosages for prophylaxis have been calculated to treat malaria in children, many drugs have What statement, if made by the nurse, would be correct? A major problem with controlling malaria is the mosquito that is resistant to insecticide. Widespread efforts at mosquito control have been successful, with fewer cases of malaria being The nurse is caring for a patient diagnosed with amebiasis caused byEntamoeba histolytica that Have you traveled outside the country recently? Have you been swimming in a lake or pond recently? Have you been eating fresh fruits or vegetables without washing them first? The disease is transmitted while the protozoan is in the cystic stage in fecal matter, from which it can The nurse explains that the drugs metronidazole (Flagyl) or tinidazole (Tindamax) can be administered Trichomoniasis Metronidazole or tinidazole are effective treatments for trichomoniasis,
giardiasis, and amebiasis. They How does the nurse adapt the plan of care when caring for an older adult receiving an antiprotozoal Patients should be monitored more closely for toxic adverse effects. Older patients may be more susceptible to the adverse effects associated with these drugs. They should |