A nurse would expect to administer antihelminthic therapy cautiously to which of the following clients?

Clients who have cardiac disease.

Clients with hepatic impairment.

Clients with diabetes.

Clients with respiratory disorders.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Antihelminthic therapy does not need to be administered cautiously in clients who have cardiac disease unless there are specific contraindications or drug interactions that would necessitate caution. The primary concern in these cases would be ensuring that the chosen antihelminthic drug does not interact adversely with the medications used to manage the client's cardiac condition.

Choice B rationale:

Antihelminthic therapy should be administered cautiously in clients with hepatic impairment. The liver plays a significant role in drug metabolism and elimination. Clients with hepatic impairment may have altered drug metabolism, which can affect the pharmacokinetics of antihelminthic drugs. Therefore, caution is needed to adjust the dosing and monitor for potential side effects in clients with compromised liver function.

Choice C rationale:

Clients with diabetes do not typically require cautious administration of antihelminthic therapy solely due to their diabetes. However, it is essential to consider potential drug interactions with antidiabetic medications that the client may be taking. The primary concern would be ensuring that the antihelminthic drug does not interfere with diabetes management.

Choice D rationale:

Clients with respiratory disorders do not necessarily require cautious administration of antihelminthic therapy based solely on their respiratory condition. However, it is crucial to consider potential drug interactions with medications used to manage the respiratory disorder. Antihelminthic drugs are primarily targeted at parasitic infections and may not directly impact respiratory conditions.

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Correct Answer is D

Explanation

Choice A rationale:

Nonprotease inhibitors are not typically a part of HAART (Highly Active Antiretroviral Therapy). Protease inhibitors are used to inhibit HIV replication.

Choice B rationale:

Nonnucleoside reverse transcriptase inhibitors (NNRTIs) are often used in HAART, but they are not the primary agents responsible for inhibiting the integration of the viral genome into the host cell's DNA. NNRTIs target the reverse transcriptase enzyme.

Choice C rationale:

Entry inhibitors are another class of antiretroviral drugs, but they work by blocking the entry of the virus into host cells, not by inhibiting integration. They are used in combination with other drugs in specific cases.

Choice D rationale:

Integrase inhibitors are a class of antiretroviral drugs that specifically target the enzyme integrase, which is responsible for integrating the viral genome into the host cell's DNA. This choice is correct because integrase inhibitors are a crucial component of HAART and help prevent the virus from replicating in the host's cells.

A. Wear protective clothing and sunscreen when outside. B. Increase fluid intake. C. Avoid lights while indoors. D. Wear protective footwear.

Correct Answer is A

Explanation

Choice A rationale:

Wear protective clothing and sunscreen when outside. Rationale: Sulfonamide antibiotics, a type of medication mentioned in the question, can increase the skin's sensitivity to sunlight, leading to photosensitivity reactions. To reduce the effects of photosensitivity, the client should be instructed to wear protective clothing that covers the skin and to apply sunscreen with a high sun protection factor (SPF) when going outdoors. This helps shield the skin from harmful UV rays, reducing the risk of sunburn and other adverse reactions.

Choice B rationale:

Increase fluid intake. Rationale: Increasing fluid intake is a general recommendation for clients taking sulfonamide antibiotics to minimize the risk of crystalluria, a side effect that can result from inadequate hydration. Crystalluria is the formation of crystals in the urine and can lead to kidney stones. While staying hydrated is essential, it is not specifically related to reducing photosensitivity, which is the focus of this question.

Choice C rationale:

Avoid lights while indoors. Rationale: Avoiding lights while indoors is not a standard precaution to reduce the effects of photosensitivity caused by sulfonamide antibiotics. Photosensitivity primarily refers to the skin's heightened sensitivity to sunlight. Being indoors under regular lighting conditions should not significantly impact photosensitivity. The key precautions are related to outdoor sun exposure.

Choice D rationale:

Wear protective footwear. Rationale: Wearing protective footwear is not a standard precaution to reduce photosensitivity effects caused by sulfonamide antibiotics. Photosensitivity primarily affects the skin, not the feet. While protective footwear may be recommended in specific situations, such as in a construction or industrial setting, it is not directly related to reducing the risk of photosensitivity reactions.

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A nurse would expect to administer antihelminthic therapy cautiously to which of the following clients?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing care to a client receiving highly active antiretroviral therapy (HAART). The nurse would expect the client to receive which of the following antiretroviral agents?

Correct Answer is D

Explanation

A client who is on sulfonamide therapy is about to be discharged.Which of the following precautions should the nurse instruct the client to follow to reduce the effects of photosensitivity?

Correct Answer is A

Explanation

A client is prescribed ferrous sulfate (Feosol). Which of the following adverse reactions should the nurse discuss with a client prior to the administration of this drug?

A physician has prescribed simethicone to a client with postoperative abdominal distention.After administering the drug, the nurse would assess the client for the possibility of which of the following?

A 72-year-old patient with TB is undergoing standard treatment in a health care facility.Which ongoing assessment would the nurse complete?

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A nurse is discussing the possible adverse reactions that may occur with antineoplastic therapy.Which of the following would the nurse discuss as examples of long-term adverse reactions?

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