The parents of a child diagnosed with pinworms are reluctant to ...

[abern]

The parents of a child diagnosed with pinworms are reluctant to give the prescribed medication. The father says, We hate to give our child such a toxic medication. What information should the nurse provide?
 
  1. Very little of the drug is absorbed into the system.
  2. Severe infestations can result in malabsorption.
  3. It is critical that you give this medication.
  4. Many types of pinworms are resistant to treatment.
  5. There is increased risk for bacterial infection when worms are present.

Question 2

A mother is distressed because her child has been diagnosed with ascariasis. What information should the nurse provide?
 
  1. Your child has pinworms.
  2. Children get worms from playing in infected soil.
  3. Treatment will consist of medication for 3 days.
  4. No treatment will be necessary after I give this one pill.
  5. No treatment is necessary; the worms will die on their own.

[matt95]

Answer to Question 1

1,2,5
Rationale 1: It may be helpful for the parents to understand that very little of these medications are absorbed systemically. They kill the worms without affecting the patient.
Rationale 2: Severe infestations may alter the function of the bowel. The parents need to understand the disorder in order to make a logical decision about treatment.
Rationale 3: Using a word like critical is inappropriate and puts unnecessary pressure on the parents.
Rationale 4: To date, resistance has not been a problem.
Rationale 5: The parents need to understand the disorder in order to make a logical decision about treatment.

Global Rationale: It may be helpful for the parents to understand that very little of these medications are absorbed systemically. They kill the worms without affecting the patient. Severe infestations may alter the function of the bowel. The parents need to understand the disorder in order to make a logical decision about treatment. Using a word like critical is inappropriate and puts unnecessary pressure on the parents. To date, resistance has not been a problem.

Answer to Question 2

2,3
Rationale 1: Ascariasis is infestation with roundworms.
Rationale 2: Worms live in infected soil.
Rationale 3: Ascariasis is treated with oral mebendazole (Vermox) for 3 days.
Rationale 4: Pinworm infestation is treated with 1 dose.
Rationale 5: Treatment is required.

Global Rationale: Worms live in infected soil. Ascariasis is treated with oral mebendazole (Vermox) for 3 days. Ascariasis is infection with roundworms. Pinworm infestation is treated with 1 dose. Treatment is required.

[abern]

TYSM

[okolip]

Excellent