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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. "The fluids will help to decrease your risk for kidney stones.”. B. "You need fluids so that you won't develop a reaction in the sunlight.”. C. "Fluids prevent you from getting dehydrated.”. D. "You need fluids to keep your blood count from dropping too low.”. .

Correct Answer is A

Explanation

Choice A rationale:

Sulfonamides can increase the risk of crystalluria, which may lead to kidney stones. Adequate fluid intake can help dilute the urine and reduce the risk of crystalluria and kidney stone formation. This is a relevant and appropriate response by the nurse.

Choice B rationale:

Sulfonamides can make the skin more sensitive to sunlight, increasing the risk of sunburn. However, increasing fluid intake is primarily to prevent kidney stone formation, not a reaction to sunlight.

Choice C rationale:

While maintaining adequate hydration does help prevent dehydration, this answer does not directly address the potential side effects or risks associated with sulfonamide use. It is a bit too general and doesn't provide specific information related to the medication.

Choice D rationale:

Sulfonamides can affect blood counts in some cases, but maintaining adequate fluid intake is not primarily related to preventing low blood counts. It's more about mitigating the specific side effects associated with sulfonamide use, such as crystalluria and kidney stones.

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A nurse understands that anthelmintic drugs are contraindicated in which patients?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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