A child is seen in the clinic after complaining of intense perianal itching. The provider diagnoses the child with pinworms and orders mebendazole (Vermox). The nurse will expect to teach the child's parents to:
a. administer the drug with a high-fat meal to improve absorption.
b. avoid driving or other hazardous activities until the drug's effects wear off.
c. give each family member one dose of the drug now and another dose in 2 weeks.
d. report serious adverse effects that can occur with death of the causative parasite.
ANS: C
Mebendazole is administered as a single dose once and then again in 2 weeks. It should be given to all household members when one person is infested. Albendazole is given with a high-fat meal. Praziquantel can cause drowsiness. Ivermectin causes a Mazotti reaction, which occurs in patients treated for onchocerciasis with symptoms resulting from death of the parasite.
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