Author Question: While providing teaching for a client with leishmaniasis, the nurse explains that the medication ... (Read 51 times)

Metfan725 · **on:** Jul 23, 2018

While providing teaching for a client with leishmaniasis, the nurse explains that the medication prescribed, sodium stibogluconate (Pentostam), must be administered by injection for 4 to ___ weeks.

Fill in the blank with the appropriate word.

Question 2

A client taking metronidazole telephones the nurse to report that he has a strange metallic taste in his mouth. The nurse correctly responds by saying:

1. You may also experience changes in your sense of smell. Do not be alarmed.
2. This is a common side effect and is produced by the medication.
3. This indicates an allergic response to the drug; please come in immediately.
4. This could be an indication of a problem with your kidneys. Increase your fluid intake to 2,000 mL per day.

Anton · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 6
Rationale: Sodium stibogluconate is the traditional drug of choice for leishmaniasis; however, decades of use have led to near-total resistance in certain strains of Leishmania. The drug must be given parenterally for 4 to 6 weeks.
Global Rationale: Sodium stibogluconate is the traditional drug of choice for leishmaniasis; however, decades of use have led to near-total resistance in certain strains of Leishmania. The drug must be given parenterally for 4 to 6 weeks.

Answer to Question 2

Correct Answer: 2
Rationale 1: Changes in sense of smell should not occur.
Rationale 2: Some patients experience a metallic taste.
Rationale 3: Metallic taste is not a symptom of an allergic response.
Rationale 4: Increasing fluid intake will not alleviate this symptom.
Global Rationale: The most common adverse effects are anorexia, nausea, vomiting, diarrhea, abdominal pain, dizziness, and headache. Dryness of the mouth and an unpleasant metallic taste may be experienced. Sense of smell is not altered. Increasing fluid intake is not indicated. This is an adverse effect, not an allergic response.