McKenna's Pharmacology for Nursing, 2e

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C H A P T E R 1 3  Anthelmintic agents

C H E C K Y O U R U N D E R S T A N D I N G

5. A person is prescribed mebendazole. The nurse knows that this is the most commonly used anthelmintic, being the drug of choice for treating: a. pinworms, roundworms, whipworms and hookworms. b. trichinosis, flukes, cestodes and hookworms. c. pork tapeworm, threadworms, cestodes and whipworms. d. all stages of schistosomal infections. 6. Teaching regarding the use of anthelmintics should include counselling about: a. the use of oral contraceptives. b. maintenance of nutrition during therapy. c. the use of oral anticoagulants. d. cardiac drug effects. 7. People may experience anxiety about the diagnosis and treatment of helminthic infections. Teaching may help to alleviate this anxiety and should include: a. what they may experience if the worms are passed from the body. b. focus on the cleanliness of the home. c. measures to isolate the organism in the home. d. criticism of their personal hygiene practices.

Answers to the questions in this chapter can be found in Appendix A at the back of this book.

MULTIPLE CHOICE Select the best answer to the following. 1. To ensure effective treatment of pinworm infections, which instruction would be most important to emphasise to the individual and family? a. Keep nails long so cutting will not introduce more infection. b. Launder undergarments, bed linen and pyjamas every day. c. Boil all drinking water. d. Maintain a clear liquid diet for at least 7 to 10 days. 2. Which of the following would you expect to assess in a person who is suspected of having an Ascaris infection? a. cough and signs of pulmonary infestation. b. cardiac arrhythmias and low blood pressure. c. seizures and disorientation. d. bloody diarrhoea and excessive vomiting. 3. The nurse describes schistosomiasis to a group of students as an infection caused by: a. a protozoan carried by a mosquito. b. improperly cooked pork. c. a fluke carried by a snail. d. eating food contaminated by faecal material. 4. A person has travelled to Egypt and come home with schistosomiasis. The family is very concerned about spreading the disease. Which of the following would be most helpful to teach the family? a. Strict hand washing will stop the spread of the disease. b. Isolating the person will be necessary to stop the spread of the disease. c. Carefully cooking all of the person’s food will help to stop the spread of the disease. d. The snail needed for the life cycle of this worm does not live in this climate.