The nurse is caring for a newly admitted African American patient who has just returned from a mission trip to Africa. The patient contracted malaria and is being treated with primaquine. What will the nurse monitor?
a. The patient's blood for evidence of hyperlipidemia
b. The patient's eyes for evidence of icterus
c. The patient's skin for photosensitivity
d. The patient's urinary output for evidence of darkening urine
ANS: D
The nurse should frequently monitor the patient's urine for evidence of hemoglobin, indicating hemolysis, which is marked by darkening urine. The patient need not be monitored for photosensitivity, because primaquine does not cause that condition. The patient need not be monitored for icterus, because primaquine does not cause icterus. The patient's blood need not be monitored for evidence of hyperlipidemia.
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