Author Question: A patient who is being treated for onchocerciasis with ivermectin (Stromectol) has a Mazotti ... (Read 42 times)

jazziefee · **on:** Jul 23, 2018

A patient who is being treated for onchocerciasis with ivermectin (Stromectol) has a Mazotti reaction. Which assessment finding(s) would the nurse expect? (Select all that apply.)

a. Fever
b. Nausea and vomiting
c. Rash with pruritus
d. Blurred vision
e. Bone and joint pain

Question 2

A patient is being treated with albendazole (Albenza) for neurocysticercosis caused by larval forms of the pork tapeworm. Which statement by the patient indicates a need for further teaching about the drug regimen?

a. I may need to take this medication for a month before the infestation is cleared.
b. I should take this drug with a fatty meal to improve absorption.
c. I will need to have liver function tests before and during treatment.
d. I will take the drug in 3 consecutive cycles of 28 days, followed by 14 drug-free days.

brbarasa · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: A, C, E
Signs and symptoms associated with a Mazotti reaction are fever, rash with pruritus, and bone and joint pain. Nausea and vomiting and blurred vision are not signs and symptoms associated with a Mazotti reaction.

Answer to Question 2

ANS: D
Albendazole is given in consecutive cycles when dosing is done for cystic hydatid disease, not neurocysticercosis. For treatment of neurocysticercosis, patients generally take albendazole for 8 to 30 days. Albendazole can cause mild to moderate liver impairment, so patients should have liver function testing before and during treatment. The drug should be taken with a high-fat meal to improve absorption.