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Questions and Answers
What is the impact of impaired kidney function on the excretion of the drug?
What is the impact of impaired kidney function on the excretion of the drug?
Impaired kidney function won't affect excretion.
What should the nurse ensure for a 10-year-old client diagnosed with a cestode infection?
What should the nurse ensure for a 10-year-old client diagnosed with a cestode infection?
Ensure that the client receives frequent, nutritious meals.
How many mg of albendazole should be administered for each dose to a child weighing 66 lbs prescribed 15 mg/kg/day?
How many mg of albendazole should be administered for each dose to a child weighing 66 lbs prescribed 15 mg/kg/day?
225
How should a nurse respond to a young adult client feeling mortified about being diagnosed with roundworms?
How should a nurse respond to a young adult client feeling mortified about being diagnosed with roundworms?
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What assessment finding indicates successful eradication of whipworms in a client treated with mebendazole?
What assessment finding indicates successful eradication of whipworms in a client treated with mebendazole?
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What is the nurse's most therapeutic response to a university student diagnosed with a helminth infection?
What is the nurse's most therapeutic response to a university student diagnosed with a helminth infection?
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What is the most frequent cause of helminth infections in the United States?
What is the most frequent cause of helminth infections in the United States?
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Which of the following characteristics do not describe filariasis? (Select all that apply)
Which of the following characteristics do not describe filariasis? (Select all that apply)
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What should the nurse teach the mother to avoid reinfection of hookworm in her child?
What should the nurse teach the mother to avoid reinfection of hookworm in her child?
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What should the nurse teach a client treated for schistosomiasis about preventing reinfection?
What should the nurse teach a client treated for schistosomiasis about preventing reinfection?
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Which member of the care team should the nurse consider referring a child diagnosed with ascariasis?
Which member of the care team should the nurse consider referring a child diagnosed with ascariasis?
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What intervention should the nurse anticipate for a 4-year-old child with the most common childhood helminthic disease?
What intervention should the nurse anticipate for a 4-year-old child with the most common childhood helminthic disease?
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For what area should the antiparasitic drug be prescribed for local effects besides the skin?
For what area should the antiparasitic drug be prescribed for local effects besides the skin?
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What should be the first action when a child presents with signs of a helminth infection?
What should be the first action when a child presents with signs of a helminth infection?
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What is a tissue-invading worm infection caused by eating undercooked pork?
What is a tissue-invading worm infection caused by eating undercooked pork?
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What psychosocial nursing diagnosis should the nurse address for a student diagnosed with a helminthic infection?
What psychosocial nursing diagnosis should the nurse address for a student diagnosed with a helminthic infection?
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What does mebendazole interfere with in worms leading to their inability to reproduce?
What does mebendazole interfere with in worms leading to their inability to reproduce?
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Which interventions are important when caring for a client diagnosed with an helminthic infection? (Select all that apply)
Which interventions are important when caring for a client diagnosed with an helminthic infection? (Select all that apply)
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What parasitic infection is suspected in a child who has been sleeping poorly and scratching in the rectal area?
What parasitic infection is suspected in a child who has been sleeping poorly and scratching in the rectal area?
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What meals should be avoided when administering anthelmintic drugs?
What meals should be avoided when administering anthelmintic drugs?
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What should the nurse anticipate when a breastfeeding client diagnosed with pinworms is prescribed anthelmintic medication?
What should the nurse anticipate when a breastfeeding client diagnosed with pinworms is prescribed anthelmintic medication?
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What leads the nurse to suspect trichinosis in a client?
What leads the nurse to suspect trichinosis in a client?
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Schistosomes invade tissue.
Schistosomes invade tissue.
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What instruction should be given to a patient prescribed albendazole on an outpatient basis?
What instruction should be given to a patient prescribed albendazole on an outpatient basis?
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What should the nurse teach the parents of a child diagnosed with pinworms who is being treated with mebendazole?
What should the nurse teach the parents of a child diagnosed with pinworms who is being treated with mebendazole?
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What are the correct stages of the schistosome life cycle after they infect snails?
What are the correct stages of the schistosome life cycle after they infect snails?
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Where are helminthic infections primarily found in the body?
Where are helminthic infections primarily found in the body?
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What assessment finding should a nurse attribute to the adverse effects of treatment in a client who needed multiple doses of albendazole?
What assessment finding should a nurse attribute to the adverse effects of treatment in a client who needed multiple doses of albendazole?
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What diagnostic result should provide a rationale for prescribing anthelmintic medication?
What diagnostic result should provide a rationale for prescribing anthelmintic medication?
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What assessment finding should the nurse inquire about to address a client's risk of Ascaris?
What assessment finding should the nurse inquire about to address a client's risk of Ascaris?
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What finding should be prioritized for a client prescribed albendazole after multiple months of weight loss?
What finding should be prioritized for a client prescribed albendazole after multiple months of weight loss?
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What would the nurse expect to assess in a client with a whipworm infection?
What would the nurse expect to assess in a client with a whipworm infection?
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What is the best action if a client reports diarrhea after starting mebendazole?
What is the best action if a client reports diarrhea after starting mebendazole?
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How will mebendazole eradicate a child's parasitic worms?
How will mebendazole eradicate a child's parasitic worms?
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What helminthic infection should the nurse suspect in a client with elephantiasis of the lower legs?
What helminthic infection should the nurse suspect in a client with elephantiasis of the lower legs?
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What is the best action for the nurse on a follow-up assessment of a client who completed mebendazole treatment for pinworms?
What is the best action for the nurse on a follow-up assessment of a client who completed mebendazole treatment for pinworms?
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What would a helminthic infection caused by a flatworm be classified as?
What would a helminthic infection caused by a flatworm be classified as?
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Which assessments should the nurse prioritize for a child undergoing treatment for whipworms? (Select all that apply)
Which assessments should the nurse prioritize for a child undergoing treatment for whipworms? (Select all that apply)
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What drug is identified as blocking glucose uptake, killing parasites?
What drug is identified as blocking glucose uptake, killing parasites?
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What assessment best addresses risk factors for ascaris infection while awaiting testing results?
What assessment best addresses risk factors for ascaris infection while awaiting testing results?
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What type of education should the nurse provide for a missionary diagnosed with a helminthic infection?
What type of education should the nurse provide for a missionary diagnosed with a helminthic infection?
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What should the nurse communicate to a client with filariasis about the transmission of this infection?
What should the nurse communicate to a client with filariasis about the transmission of this infection?
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What aspect of the client's pre-illness health status increases risk for adverse effects of albendazole in a treated client?
What aspect of the client's pre-illness health status increases risk for adverse effects of albendazole in a treated client?
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What adverse effect would the nurse inform a client about when prescribed pyrantel?
What adverse effect would the nurse inform a client about when prescribed pyrantel?
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What shape of helminthic infection falls under the category of cestodes?
What shape of helminthic infection falls under the category of cestodes?
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What client should be prioritized for referral by a nurse in a refugee camp being treated for helminthic infections?
What client should be prioritized for referral by a nurse in a refugee camp being treated for helminthic infections?
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Which drug is identified as the prototype anthelmintic?
Which drug is identified as the prototype anthelmintic?
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What should the nurse explain about the prescription of metronidazole? (Select all that apply)
What should the nurse explain about the prescription of metronidazole? (Select all that apply)
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What advantage does pyrantel present for roundworm treatment?
What advantage does pyrantel present for roundworm treatment?
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What adverse effect should be communicated to a client prescribed pyrantel for roundworm infection?
What adverse effect should be communicated to a client prescribed pyrantel for roundworm infection?
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How many 600 mg tablets should a nurse administer for praziquantel if the client weighs 198 lbs?
How many 600 mg tablets should a nurse administer for praziquantel if the client weighs 198 lbs?
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How many milligrams of ivermectin should be administered to a client weighing 132 lbs?
How many milligrams of ivermectin should be administered to a client weighing 132 lbs?
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What should the nurse advise about taking praziquantel for gastrointestinal symptoms?
What should the nurse advise about taking praziquantel for gastrointestinal symptoms?
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What assessment question should a nurse prioritize for a client suspecting a helminthic infection while also believing they may have a sexually transmitted infection?
What assessment question should a nurse prioritize for a client suspecting a helminthic infection while also believing they may have a sexually transmitted infection?
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Bone marrow depression can occur with thiabendazole.
Bone marrow depression can occur with thiabendazole.
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What signs and symptoms should the nurse be alert for in a patient receiving albendazole therapy and dexamethasone?
What signs and symptoms should the nurse be alert for in a patient receiving albendazole therapy and dexamethasone?
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Which characteristics are associated with pinworms? (Select all that apply)
Which characteristics are associated with pinworms? (Select all that apply)
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What should a nurse stress when educating parents about pinworm infections?
What should a nurse stress when educating parents about pinworm infections?
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What assessment should the nurse prioritize for a client receiving albendazole therapy?
What assessment should the nurse prioritize for a client receiving albendazole therapy?
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What types of worms are classified as nematodes? (Select all that apply)
What types of worms are classified as nematodes? (Select all that apply)
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Which type of infestation could result in pneumonia or liver abscesses in severe cases?
Which type of infestation could result in pneumonia or liver abscesses in severe cases?
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All of the following statements are true EXCEPT: Pin-Rid can be used for infants and children of any age.
All of the following statements are true EXCEPT: Pin-Rid can be used for infants and children of any age.
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Which helminths should the nurse classify as nematodes? (Select all that apply)
Which helminths should the nurse classify as nematodes? (Select all that apply)
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After administering ivermectin, when should the nurse expect it to reach peak levels?
After administering ivermectin, when should the nurse expect it to reach peak levels?
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What diagnostic value should the nurse prioritize in a client diagnosed with hookworms taking mebendazole?
What diagnostic value should the nurse prioritize in a client diagnosed with hookworms taking mebendazole?
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Which characteristics are associated with whipworms? (Select all that apply)
Which characteristics are associated with whipworms? (Select all that apply)
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What principle guides the subsequent treatment of a client whose helminthic infection has not completely cleared after mebendazole therapy?
What principle guides the subsequent treatment of a client whose helminthic infection has not completely cleared after mebendazole therapy?
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What is the nurse's best action when the parent states that their child has been prescribed pills for pinworms for three weeks?
What is the nurse's best action when the parent states that their child has been prescribed pills for pinworms for three weeks?
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What indicates successful teaching when discussing mebendazole therapy for pinworms?
What indicates successful teaching when discussing mebendazole therapy for pinworms?
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How would the nurse explain the action of anthelmintic drugs?
How would the nurse explain the action of anthelmintic drugs?
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What information may lead the nurse to suspect that a client has a tapeworm infection?
What information may lead the nurse to suspect that a client has a tapeworm infection?
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What is the nurse's most appropriate response regarding the administration of mebendazole to a client with diabetic nephropathy?
What is the nurse's most appropriate response regarding the administration of mebendazole to a client with diabetic nephropathy?
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Study Notes
Therapeutic Communication
- Acknowledge feelings of disgust in clients diagnosed with helminth infections, emphasizing that it is not a reflection of their character.
Common Helminth Infections
- Pinworms are the most frequent cause of helminth infections in the United States.
- Ascariasis, hookworm, and schistosomiasis are other notable infections requiring awareness and understanding.
Filariasis
- Filariasis involves the infection of blood and tissues by worm embryos, potentially causing severe inflammatory reactions.
- Can lead to symptoms such as elephantiasis through insect bites.
Treatment Considerations
- Mebendazole, used for hookworm infections, necessitates teaching about hygiene practices to prevent reinfection.
- Praziquantel is prescribed for schistosomiasis; clients should avoid fresh water to prevent reinfection.
Diagnosis and Care Planning
- Obtaining stool samples is a priority for diagnosing helminth infections.
- Registered dietitians may assist in care planning for clients with ascariasis due to nutritional needs.
Pediatric Considerations
- Mebendazole is typically prescribed for children with pinworm infections; adherence to treatment is crucial.
- Assessment of bowel movements, nutritional status, and fluid balance is essential for children undergoing treatment for whipworms.
Mechanism of Action
- Mebendazole disrupts glucose metabolism in worms, preventing reproduction and leading to cell death.
- Pyrantel is noted for requiring a single dose for its efficacy.
Family and Psychosocial Support
- Helminth infections can affect clients’ self-esteem; supportive education and assurance of confidentiality are important.
- Parents should be educated on the importance of meticulous hand-washing to prevent recurrence of pinworms.
Adverse Effects and Monitoring
- Monitor liver enzymes (AST and ALT) in clients receiving mebendazole or albendazole.
- Be alert to signs of renal failure in clients on albendazole, especially if they have pre-existing kidney conditions.
Specific Infections and Their Risks
- Ingesting undercooked pork can lead to trichinosis.
- High-fat meals should be avoided as they may interfere with the effectiveness of anthelmintic drugs.
Education and Follow-Up
- Teaching on the importance of completing prescribed doses, including multiple doses of praziquantel or mebendazole.
- Validate feelings of shame or disgust in clients while providing psychoeducation about their condition.
Drug Interactions and Contraindications
- Highlight the contraindications of metronidazole, such as first trimester pregnancy and interactions with blood disorders.
- Educate clients on the need for barrier contraception during anthelminthic treatment, especially if they are in childbearing age.
Preventative Measures
- Emphasize the need for avoiding contact with potentially contaminated environments and adopting safe food handling practices to prevent helminthic infections.
- Encourage regular monitoring and assessment of treatment efficacy and potential side effects during follow-up visits.
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Description
Explore key concepts in Pharmacology Chapter 13, focusing on anthelmintic agents. This quiz will help reinforce understanding of helminth infections and their therapeutic management. Test your knowledge and improve your nursing skills with scenario-based questions.
