McKenna's Pharmacology for Nursing, 2e

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P A R T 2  Chemotherapeutic agents

8. Trypanosomiasis may assume two different forms: a. African sleeping sickness and Chagas disease. b. elephantiasis and malaria. c. dysentery and African sleeping sickness. d. malaria and Chagas disease. 9. It would be noted that a person had a good understanding of his antimalarial drug regimen if the person reported: a. “I keep these pills with me at all times while I’m away and take them only when I have been bitten by a mosquito.” b. “I will need to start these pills now and then continue to take them every day for the rest of my life.” c. “I’ll start the pills before my trip, keep taking them during the trip and for a period of time after I’m home.” d. “I start taking these pills as soon as I arrive at my destination, but before I get off the plane.” 1. A mother calls in concerned that her son, a university student, has been diagnosed with giardiasis. The nurse would respond to the mother’s concerns by telling her which of the following? a. You should have your son come home immediately so that he can be treated appropriately. b. This is a very rare disorder; it is not usually seen in this country. c. This is the most common protozoal infection seen in this country and is usually transmitted through food or water. d. This infection can be treated with oral drugs, and he should be able to get the drugs where his infection was diagnosed. e. This is an infection that has to be treated quickly with IV medications. f. Encourage your son to get the medicine and to try very hard to eat nutritious food. MULTIPLE RESPONSE Select all that apply.

3. A person who is receiving a combination drug to treat malaria asks the nurse why. The nurse responds to the person based on the understanding that combination drugs are: a. associated with a much lower degree of toxicity when used in combination. b. absorbed more completely when administered and taken together. c. more effective in preventing mosquitoes from biting the individual. d. effective at various stages in the life cycle of the protozoan. 4. A person travelling to an area of the world where malaria is known to be endemic should be taught to: a. avoid drinking the water. b. begin prophylactic antimalarial therapy before travelling and continue it through the visit and for 2 to 3 weeks after the visit. c. take a supply of antimalarial drugs in case they get a mosquito bite. d. begin prophylactic antimalarial therapy 2 weeks before travelling and stop the drugs on arriving at the destination. 5. Amoebiasis or amoebic dysentery: a. is seen only in Third World countries. b. is caused by a protozoan that enters the body through an insect bite. c. is caused by a protozoan that can enter the body in the cyst stage in water or food. d. usually has no signs and symptoms. 6. Giardiasis is a very common intestinal parasite seen in Australia, and it: a. does not respond to drug therapy. b. can invade the liver and cause death. c. is seen only in areas with no sanitation. d. is associated with rotten egg–smelling stool, diarrhoea and mucus-filled stool. 7. PCP ( Pneumocystis carinii pneumonia) is: a. an endemic protozoan found in the human respiratory system. b. responsive to inhaled pentamidine. c. an opportunistic bacterial infection. d. frequently associated with children in day care settings.