A mother calls the emergency department and says, My 5-year-old ...

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A mother calls the emergency department and says, My 5-year-old just took four chloroquine (Aralen) that my husband was prescribed because he is going to Africa. What should the nurse advise?
 
  1. There should be no adverse effects.
  2. Watch your child for nausea or vomiting.
  3. Bring your child to the emergency department immediately.
  4. Call 911 and watch your child for seizure activity until they arrive.
  5. There should be no problem unless your child has kidney disease.

Question 2

A client receives metronidazole (Flagyl) for treatment of a vaginal yeast infection. What should the nurse include in medication education for this client?
 
  1. Do not drink alcohol with this medication.
  2. Do not take this medication with milk or milk products.
  3. Drink at least 3,000 mL of fluid per day with this medication.
  4. Do not become pregnant while taking this medication.
  5. You may experience a metallic taste while on this medication.

[iman]

Answer to Question 1

Correct Answer: 3,4
Rationale 1: Overdose of chloroquine is serious.
Rationale 2: Nausea and vomiting is an adverse effect of this medication, but this is not the advice that should be given.
Rationale 3: Overdose of chloroquine may be fatal.
Rationale 4: Convulsions may occur with this drug. The child should be brought to the ED.
Rationale 5: Overdose of chloroquine can be fatal, especially in children.

Answer to Question 2

Correct Answer: 1,4,5
Rationale 1: The interaction of metronidazole and alcohol causes severe nausea, vomiting, and abdominal pain.
Rationale 2: There is no interaction between this medication and milk or milk products.
Rationale 3: Increasing fluids is not necessary.
Rationale 4: This medication is contraindicated during the first trimester of pregnancy.
Rationale 5: Dryness of the mouth and an unpleasant metallic taste may be experienced.

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