What drug would the nurse expect to be the first choice of drugs ordered during the chemoprophylaxis stage in the treatment of malaria?
1. Doxycycline
2. Primaquine
3. Mefloquine
4. Chloroquine
Correct Answer: 4
Rationale 1: Doxycycline is a second-line agent.
Rationale 2: Primaquine is a second-line agent.
Rationale 3: Mefloquine is a second-line agent.
Rationale 4: The first-line agent for prophylaxis for malaria is chloroquine.
Global Rationale: The Centers for Disease Control and Prevention (CDC) recommends that travelers to infested areas receive prophylactic antimalarial drugs prior to travel, during their visit, and for at least 1 week after leaving. Chloroquine (Aralen) is the traditional drug of choice, unless travel is to a region known to have a high incidence of chloroquine-resistant strains of Plasmodium. Chloroquine therapy begins 1 to 2 weeks before travel, and continues once a week during travel and for 4 weeks after returning. Atovaquone-proguanil (Malarone), doxycycline, mefloquine, or primaquine are options available to patients unable to take chloroquine or to those traveling to areas where chloroquine-resistant species are prevalent.
You might also like to view...
What is a common mistake that hinders communication when communicating with the hearing impaired?
a. Overaccentuating words b. Facing the patient when speaking c. Speaking in conversational tones d. Speaking into the ear with the hearing aid
A 17-year-old pregnant cocaine addict who is homeless is considered
a. At risk b. A special population c. A Healthy People 2010 target group d. A vulnerable individual
To assess the coping abilities of a first-time mother who expresses to the nurse that she is feeling overwhelmed by the needs of her newborn, the nurse should ask the client about her:
A) cognition and orientation. B) interpretation of events. C) nutritional patterns. D) exercise patterns.
When assisting in the delivery of a post-term baby, as soon as the baby's head is delivered, the nurse is most likely to be called upon to help the physician perform what action?
A) Administer oxygen. B) Perform a gastric lavage. C) Suction the baby's mouth and nose. D) Start IV glucose.