NURS 316 Infection and Immunity Drugs 2022 Test with answer key

NURS 316 Infection and Immunity Drugs 2022 Test with answer key 1. A public health nurse is educating school nurses about worm infections. The public health nurse should teach the school nurses to expect to encounter what type of worm infection most often? A) Pinworms B) Roundworms C) Threadworms D) Whipworms Infection and Immunity Drugs 2. The parent of a 3-year-old child brings the child to the clinic. The child is diagnosed with pinworms. The nurse should most likely educate the family about the use of what drug? A) Pyrantel B) Ivermectin C) Mebendazole D) Albendazole 3. A nurse is teaching a parent about administering pyrantel to the client's 5-year-old child. What should the nurse teach the client? A) The child will require three doses as a 1-day treatment (q8h). B) The child will be prescribed a morning dose and an evening dose for 3 days. C) The drug will be prescribed b.i.d. for 10 days. D) The drug will be administered as a one-time dose. 4. A client has been diagnosed with roundworms and is to be treated with albendazole. What assessment should the nurse perform to ensure safe and effective use of this medication? A) Assess whether the client is currently taking cimetidine B) Assess the client's suitability for insertion of a central IV catheter C) Assess the client's immunization status D) Assess whether the client has taken loperamide in the past 48 hours 5. The nurse is providing care for a client who is prescribed albendazole. What assessment should the nurse prioritize? A) Temperature, heart rate, and oxygen saturation B) Daily weights and abdominal girth C) Monitoring urine output, BUN, and creatinine D) Assessing the client's protein intake 6. The nurse is caring for an adult client receiving a prescription for an anthelmintic drug. For what nursing diagnosis should the nurse assess most closely? A) Constipation B) Disturbed personal identity C) Acute confusion D) Imbalanced nutrition: more than body requirements 7. A nurse is teaching a client who has been diagnosed with trichinosis. The nurse should teach the client what aspect of this infection? A) This roundworm disrupts the host's normal cellular functions, causing cell death and resulting in disease B) Trichinosis invades body tissues and seriously damages lymphatic tissue, lungs, the central nervous system, heart, and liver C) Trichinosis roundworms are exposed to the delicate mucous membranes of the anus and colon producing local irritation D) Trichinosis is easily passed from one individual to another resulting in rapid spreading within a work place 8. A client has been diagnosed with a helminthic infection and has begun treatment with mebendazole. What should the nurse include in client education? A) Any person who was recently exposed to the client should receive prophylactic. B) The drug should be taken on an empty stomach to maximize therapeutic effect. C) The client should remain isolated until the course of mebendazole is complete. D) Strict hygiene measures are important in eradicating the infection. 9. The nurse is caring for a client diagnosed with hookworms and who is receiving mebendazole. When reviewing this client's laboratory findings, what changes should the nurse attribute to the client's infection? Select all that apply. A) Increased bilirubin B) Decreased hematocrit C) Increased aspartate transaminase levels D) Decreased blood glucose E) Decreased hemoglobin 10. A client is taking an anthelmintic that is absorbed systemically. The nurse should caution the client about what possible adverse effect? A) Urinary retention and cloudy urine B) Constipation and abdominal pain C) Headache and dizziness D) Disturbances to hearing and vision 11. A parent brings a child to the clinic where the child is diagnosed with hookworms. The parent asks how the child got hookworms and how to prevent future occurrences. What should the nurse teach the parent to prevent future occurrences? A) Keep the child's immunizations up to date B) Ensure the child wears shoes or sandals outdoors C) Ensure that all food is cooked thoroughly to recommended temperatures D) Practice vigilant hand hygiene 12. A client is diagnosed with an ascaris infection. The client asks what the best way is to prevent ascaris infections. What is the nurse's best response? A) Wash hands before eating. B) Do not share hairbrushes or hats. C) Wash fresh fruits and vegetables before eating. D) Avoid heavily populated areas. 13. The nurse is providing care for a client who has just been diagnosed with a tapeworm. What nursing diagnosis should the nurse expect to identify? A) Imbalanced nutrition: less than body requirements B) Chronic pain C) Constipation D) Acute confusion 14. Following a detailed diagnostic workup, a client has been diagnosed with schistosomiasis. What assessment question by the nurse best addresses the likely etiology of this client's health problem? A) Have you recently begun any new sexual relationships? B) When was the last time you traveled outside the country? C) Have you ever received a blood transfusion? D) Have you recently eaten any unpasteurized cheese or drunk unpasteurized milk? 15. What helminthic infestation occurs in tropical areas and is carried by snails? A) Schistosomiasis B) Platyhelminths C) Trichinosis D) Filariasis 16. A client has presented with severe swelling of the scrotum. Initial assessment rules out cardiovascular or renal causes. The care team should suspect what diagnosis? A) Schistosomiasis B) Filariasis C) Tapeworm infection D) Malaria 17. What anthelmintics should the nurse expect to be readily absorbed from the client's gastrointestinal (GI) tract? Select all that apply. A) Mebendazole B) Pyrantel C) Albendazole D) Praziquantel E) Ivermectin 18. A mother brings her 18-month-old son into the clinic stating that he has been ìscratching his bottomî for several days. Which medication should the nurse expect to be prescribed? A) Pyrantel B) Mebendazole C) Ivermectin D) Praziquantel 19. The nurse is caring for an adult client diagnosed with roundworms who is prescribed pyrantel. What should the nurse teach the client about potential adverse effects? A) This drug is very effective, but make sure to get the ordered blood work done on schedule to monitor for side effects. B) If your skin is itchy during treatment, try using a moisturizing lotion. C) Some people get diarrhea or stomach pain, but overall this doesn't have many side effects. D) You might find yourself getting constipated, so it's okay to take a stool softener. 20. The nurse is caring for a client who has a tapeworm and who has been prescribed albendazole. When reviewing the client's current medication regimen, what drug should cause the nurse to question administering albendazole? A) Propranolol B) Levothyroxine C) Furosemide D) Dexamethasone 21. An adult client has been diagnosed with hookworms and been prescribed a 3-day course of mebendazole 100 mg PO each morning and evening. What is the nurse's best response to receiving this prescription? A) Contact the provider to question the dose B) Ensure the client's renal and hepatic function have been assessed C) Contact the provider to question the frequency of administration D) Confirm the client's identity and administer the medication as prescribed 22. The nurse is caring for a client diagnosed with threadworm infestation. What is the nurse's priority assessment related to common manifestations of this infestation? A) Mucous membrane integrity B) Temperature and respiratory system C) Urine output, BUN, and creatinine D) Stool character and consistency 23. Diagnostic imaging of a client with an intestinal obstruction reveals that the obstruction is caused by adult worms clogging the lumen of the client's intestine. The nurse should anticipate that this client will be diagnosed with what? A) Platyhelminth infection B) Trichinosis C) Nematode infection D) Cestode infection 24. The nurse is caring for a teenage client who has just been diagnosed with a tapeworm. What is a priority nursing action for this client? A) Monitor hepatic and renal function before, and periodically during, treatment. B) Provide small, frequent, nutritious meals if GI upset is severe. C) Instruct the client about OTC alternatives to the prescribed medication. D) Offer support and encouragement. 25. The nurse is counseling a client who has been prescribed mebendazole for a helminthic infection. When assessing for adverse effects, what areas should the nurse monitor? Select all that apply. A) Temperature B) Level of consciousness C) Assessment for nausea and vomiting D) Urine character E) Bowel pattern 26. A client with complex health issues has been prescribed ivermectin, in addition to several other medications. Due to adverse effects of other medications, the client has not had a bowel movement for 4 days. The nurse should recognize what implication for the client's ivermectin therapy? A) Absorption will be delayed B) Excretion will be impaired C) Distribution will be inhibited D) Metabolism will be delayed 27. A client with a tapeworm has been prescribed albendazole. What aspect of this client's health history would cause delayed excretion? A) Peripheral edema B) Hepatitis A C) Chronic renal failure D) Viral pneumonia 28. The nurse is presenting at a health promotion event at the local elementary school. What suggestions should the nurse give the attendees to prevent the spread of pinworm infection? Select all that apply. A) Tell the children not to share combs and brushes. B) Tell the children not to drink out of other people's beverage containers. C) Keep your children's nails cut short. D) Whenever possible, shower your child each morning during an outbreak. E) Make sure to teach and model good handwashing practices. 29. An adult client who is homeless and has a history of poor adherence to prescribed medical treatment has been diagnosed with a helminthic infection. What drug would best meet this client's medical needs and psychosocial circumstances? A) Pyrantel B) Mebendazole C) Albendazole D) Metronidazole 30. Several children from a day care have developed pinworms, and the nurse has been brought in to consult. The nurse should tell parents to watch for what sign of possible infection? A) Hard stools with visible worms B) Perianal itching C) Anorexia and upset stomach D) Blood-streaked diarrhea 31. A client has returned from a government posting in sub-Saharan Africa where he is believed to have contracted onchocerciasis. What should the nurse teach the client about subsequent drug therapy? A) The client will need to be monitored closely for signs of endocarditis. B) The client will be prescribed mebendazole. C) A single dose of medication will likely be sufficient. D) Inpatient treatment will be required for IV medication administration. 32. What benefit would the nurse describe for treating pinworms and roundworms with a prescription for pyrantel instead of mebendazole? A) Pyrantel needs only be taken once. B) Mebendazole has many serious adverse effects. C) Pyrantel is excreted in the feces. D) Pyrantel is safer for children younger than 2 years. 33. A client's signs, symptoms, and recent travel history suggest a helminthic infection. What should the nurse do in order to most accurately determine what type of helminth is infecting the client? A) Collect a stool sample for culture and sensitivity B) Collect a stool sample for ova and parasite C) Collect blood cultures D) Review the results of the client's liver function studies 34. What assessment findings should raise the nurse's level of suspicion that the client may be infected with cestodes? Select all that apply. A) Abdominal discomfort and distention B) Weight loss without dieting C) Shortness of breath on exertion D) Peripheral edema E) Decreased level of consciousness 35. The nurse is caring for an 85-year-old woman diagnosed with a roundworm infection in addition to heart disease, chronic renal failure, and history of a stroke. The client is prescribed mebendazole. What assessments should the nurse prioritize for this client related to drug therapy? Select all that apply. A) Hydration B) Nutritional status C) Liver function D) Cognitive function E) Respiratory function