Question 1

A patient who frequently travels to Africa has been treated for an acute attack of P. vivax malaria. The patient asks the nurse about medications to prevent relapse. Which response by the nurse is correct?

Accepted Answer

A)   "The form of malaria that you have does not relapse after a clinical cure has been achieved."
B)   "Until you are no longer traveling to Africa, relapse drugs will be postponed."
C)   "Using mosquito netting and DEET when you travel will prevent relapse."
D)   "You will be given prophylactic medications when you travel to prevent relapse."E) All of the above
F) B) and D) B

Question 2

A nurse is teaching a patient who is preparing to travel for a month-long missionary trip to Africa. The provider has ordered chloroquine (Aralen Phosphate)  as suppressive therapy. Which statement by the patient indicates a need for further teaching?

Accepted Answer

A)   "I should continue taking the drug for 2 weeks after returning home."
B)   "I should take 500 mg of this drug once each week."
C)   "I should take the first dose 1 week before leaving for Africa."
D)   "I should take this drug with meals."E) A) and B)
F) A) and C)

Question 3

The nurse is caring for a newly admitted African American patient who has just returned from a mission trip to Africa. The patient contracted malaria and is being treated with primaquine. What will the nurse monitor?

Accepted Answer

A)   The patient's blood for evidence of hyperlipidemia
B)   The patient's eyes for evidence of icterus
C)   The patient's skin for photosensitivity
D)   The patient's urinary output for evidence of darkening urineE) A) and C)
F) B) and D)

Question 4

A patient who takes imipramine has a moderate infection with P. vivax that is chloroquine resistant. Which medication will the nurse expect the provider to order?

Accepted Answer

A)   Artemether/lumefantrine (Coartem) 
B)   Atovaquone/proguanil (Malarone) 
C)   Artesunate
D)   QuinineE) A) and D)
F) C) and D) B

Question 5

A patient has been treated for an acute attack of P. vivax malaria. For relapse prevention, the nurse expects the provider to order which medication?

Accepted Answer

A)   Chloroquine (Aralen Phosphate) 
B)   Doxycycline (Vibramax) 
C)   Primaquine phosphate
D)   Quinine (Qualaquin) E) A) and B)
F) A) and C)

Question 6

A patient who is a missionary has returned from Africa to the United States and has completed treatment for an acute attack of P. vivax malaria. The provider has determined that clinical cure has been achieved. The nurse will expect to teach this patient about:

Accepted Answer

A)   beginning medications for a radical cure.
B)   beginning suppressive therapy.
C)   reporting visual disturbances and headaches.
D)   using insect repellents and mosquito netting.E) A) and B)
F) C) and D)

Question 7

A recent immigrant from the Middle East is being treated for P. falciparum malaria and has completed a course of chloroquine (Aralen Phosphate) . What will the nurse do?

Accepted Answer

A)   Ask the provider about genetic screening for this patient before starting the next medication.
B)   Contact the provider to discuss nondrug methods to prevent reinfection, such as DEET insect repellents.
C)   Teach the patient to notify the provider if symptoms recur so that relapse medication may be started.
D)   Tell the patient that no further treatment is necessary, because relapse in unlikely.E) B) and C)
F) A) and D)

Question 8

Which are adverse effects of quinine (Qualaquin) ? (Select all that apply.)

Accepted Answer

A)   Cinchonism
B)   Hemolysis in patients with G6PD deficiency
C)   Increased ventricular rate
D)   Nightmares
E)   Prolonged QT intervalF) A) and E)
G) A) and B) A, B, C

Question 9

A patient has severe P. falciparum malaria and is unable to tolerate oral medications. Which regimen is the U.S. Food and Drug Administration (FDA) -approved treatment of choice for this patient?

Accepted Answer

A)   Intravenous quinidine gluconate plus intravenous doxycycline (Vibramycin) 
B)   Intravenous artensunate followed by atovaquone/proguanil (Malarone) 
C)   Intravenous quinine (Qualaquin)  plus intravenous clindamycin
D)   Intravenous mefloquine plus intravenous primaquineE) A) and D)
F) All of the above

Question 10

A nurse is teaching a group of nursing students about the two most common forms of malaria, Plasmodium vivax malaria and Plasmodium falciparum malaria. Which statement by a student indicates a need for further teaching?

Accepted Answer

A)   "Once erythrocyte forms of P. falciparum are eliminated, relapse will not occur."
B)   "Patients with P. vivax malaria experience relapse with increased frequency over time."
C)   "Patients with P. falciparum malaria experience symptoms at irregular intervals."
D)   "Patients with P. vivax malaria rarely encounter drug resistance."E) All of the above
F) B) and D)

Exam 98: Antiprotozoal Drugs I: Antimalarial Agents

A patient who frequently travels to Africa has been treated for an acute attack of P. vivax malaria. The patient asks the nurse about medications to prevent relapse. Which response by the nurse is correct?

Correct Answer
verified
B

A nurse is teaching a patient who is preparing to travel for a month-long missionary trip to Africa. The provider has ordered chloroquine (Aralen Phosphate) as suppressive therapy. Which statement by the patient indicates a need for further teaching?

Correct Answer
verified

The nurse is caring for a newly admitted African American patient who has just returned from a mission trip to Africa. The patient contracted malaria and is being treated with primaquine. What will the nurse monitor?

Correct Answer
verified

A patient who takes imipramine has a moderate infection with P. vivax that is chloroquine resistant. Which medication will the nurse expect the provider to order?

Correct Answer
verified
B

A patient has been treated for an acute attack of P. vivax malaria. For relapse prevention, the nurse expects the provider to order which medication?

Correct Answer
verified

A patient who is a missionary has returned from Africa to the United States and has completed treatment for an acute attack of P. vivax malaria. The provider has determined that clinical cure has been achieved. The nurse will expect to teach this patient about:

Correct Answer
verified

A recent immigrant from the Middle East is being treated for P. falciparum malaria and has completed a course of chloroquine (Aralen Phosphate) . What will the nurse do?

Correct Answer
verified

Which are adverse effects of quinine (Qualaquin) ? (Select all that apply.)

Correct Answer
verified
A, B, C

A patient has severe P. falciparum malaria and is unable to tolerate oral medications. Which regimen is the U.S. Food and Drug Administration (FDA) -approved treatment of choice for this patient?

Correct Answer
verified

A nurse is teaching a group of nursing students about the two most common forms of malaria, Plasmodium vivax malaria and Plasmodium falciparum malaria. Which statement by a student indicates a need for further teaching?

Correct Answer
verified

Exam 98: Antiprotozoal Drugs I: Antimalarial Agents

A patient who frequently travels to Africa has been treated for an acute attack of P. vivax malaria. The patient asks the nurse about medications to prevent relapse. Which response by the nurse is correct?

Correct AnswerverifiedB

A nurse is teaching a patient who is preparing to travel for a month-long missionary trip to Africa. The provider has ordered chloroquine (Aralen Phosphate) as suppressive therapy. Which statement by the patient indicates a need for further teaching?

Correct AnswerverifiedShow Answer

The nurse is caring for a newly admitted African American patient who has just returned from a mission trip to Africa. The patient contracted malaria and is being treated with primaquine. What will the nurse monitor?

Correct AnswerverifiedShow Answer

A patient who takes imipramine has a moderate infection with P. vivax that is chloroquine resistant. Which medication will the nurse expect the provider to order?

Correct AnswerverifiedB

A patient has been treated for an acute attack of P. vivax malaria. For relapse prevention, the nurse expects the provider to order which medication?

Correct AnswerverifiedShow Answer

A patient who is a missionary has returned from Africa to the United States and has completed treatment for an acute attack of P. vivax malaria. The provider has determined that clinical cure has been achieved. The nurse will expect to teach this patient about:

Correct AnswerverifiedShow Answer

A recent immigrant from the Middle East is being treated for P. falciparum malaria and has completed a course of chloroquine (Aralen Phosphate) . What will the nurse do?

Correct AnswerverifiedShow Answer

Which are adverse effects of quinine (Qualaquin) ? (Select all that apply.)

Correct AnswerverifiedA, B, C

A patient has severe P. falciparum malaria and is unable to tolerate oral medications. Which regimen is the U.S. Food and Drug Administration (FDA) -approved treatment of choice for this patient?

Correct AnswerverifiedShow Answer

A nurse is teaching a group of nursing students about the two most common forms of malaria, Plasmodium vivax malaria and Plasmodium falciparum malaria. Which statement by a student indicates a need for further teaching?

Correct AnswerverifiedShow Answer

Correct Answer
verified
B

Correct Answer
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Correct Answer
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Correct Answer
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B

Correct Answer
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Correct Answer
verified

Correct Answer
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Correct Answer
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A, B, C

Correct Answer
verified

Correct Answer
verified