A nurse understands that anthelmintic drugs are contraindicated in which patients?
Patients who are pregnant.
Patients with myasthenia gravis.
Patients with clinical depression.
Children younger than 15 years.
The Correct Answer is B
Choice A rationale:
Anthelmintic drugs are contraindicated in patients who are pregnant because these drugs can potentially harm the developing fetus. Many anthelmintic drugs have not been studied extensively in pregnant women, and their safety in pregnancy has not been established. Therefore, it is advisable to avoid using anthelmintic drugs in pregnant patients to minimize potential risks to both the mother and the fetus.
Choice B rationale:
Anthelmintic drugs should be used cautiously in patients with myasthenia gravis. Myasthenia gravis is an autoimmune neuromuscular disorder characterized by muscle weakness and fatigue. Some anthelmintic drugs may have neuromuscular side effects, which can worsen the symptoms in individuals with myasthenia gravis. Therefore, caution is warranted when considering anthelmintic therapy in these patients.
Choice C rationale:
Clinical depression is not a contraindication for anthelmintic drugs. While some side effects of anthelmintic drugs may include mood changes or psychiatric symptoms, these drugs are primarily used to treat parasitic infections and are not contraindicated in patients with clinical depression. The benefits of treating the parasitic infection may outweigh the potential psychiatric side effects.
Choice D rationale:
Children younger than 15 years are not necessarily contraindicated for anthelmintic drugs. The choice of anthelmintic therapy in pediatric patients should be based on the specific drug, the type of parasitic infection, and the age and weight of the child. Anthelmintic drugs are often used in children to treat parasitic infections, but the choice of drug and the dosing regimen should be carefully selected based on individual patient characteristics.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Urinalysis is not typically required before administering ciprofloxacin unless there is a specific indication. Ciprofloxacin is often prescribed for urinary tract infections, but routine urinalysis may not be necessary in all cases. Culture tests are more appropriate to determine the causative microorganism and its susceptibility to ciprofloxacin.
Choice B rationale:
Culture tests are essential before administering ciprofloxacin. These tests help identify the specific pathogen causing the infection and determine its sensitivity to the antibiotic. This information is crucial for selecting the most effective treatment and preventing the development of antibiotic resistance.
Choice C rationale:
There is no standard "ulcer test" that needs to be completed before administering ciprofloxacin. The choice of administering ciprofloxacin would depend on the clinical presentation, patient history, and the suspected infection. Culture tests are more relevant for identifying the infection's source.
Choice D rationale:
Stool tests are not typically required before administering ciprofloxacin unless there is a specific indication, such as suspected gastrointestinal infections. Again, the necessity for such tests would depend on the clinical presentation and the healthcare provider's assessment. Culture tests are essential for identifying the causative microorganism in most cases.
Correct Answer is B
Explanation
Choice A rationale:
Sedation is not a common adverse reaction to antiretroviral therapy. Antiretroviral medications are primarily used to treat HIV and do not typically cause sedation.
Choice B rationale:
Bruising is a potential adverse reaction to antiretroviral therapy. Some antiretroviral medications can cause blood-related side effects, such as decreased platelet count, which can result in easy bruising and bleeding. It's important for the nurse to include this in the teaching plan to ensure the client is aware of this potential side effect.
Choice C rationale:
Altered taste is not a common adverse reaction to antiretroviral therapy. While some medications can cause taste disturbances, this is not a typical side effect of antiretroviral drugs.
Choice D rationale:
Constipation is not a common adverse reaction to antiretroviral therapy. Antiretroviral medications primarily target the HIV virus and do not typically cause gastrointestinal issues like constipation.
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