Author Question: The nurse is providing patient education to a group preparing to go to a region where malaria is ... (Read 47 times)

newbem · **on:** Jul 23, 2018

The nurse is providing patient education to a group preparing to go to a region where malaria is endemic. Which education provided by the nurse about prophylactic administration of doxycycline (Vibramycin) is most appropriate?

The medication should be (Select all that apply.)
a. started 2 days prior to travel to the area.
b. discontinued 3 weeks after leaving the area.
c. used for acute attacks only.
d. taken twice daily for 14 days.
e. continued for 4 weeks upon return from the area.

Question 2

A group of students from Greece is planning a mission trip to a region where malaria is endemic. For which of the following conditions should the nurse screen the students before starting primaquine therapy?

a. Glucose-6-phosphate dehydrogenase deficiency
b. Celiac sprue
c. Hypothyroidism
d. Syndrome of inappropriate antidiuretic hormone (SIDAH)

al · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: A, E
A patient taking doxycycline should take the medication 2 days prior to departure and for 4 weeks upon returning from the endemic region.

Answer to Question 2

ANS: A
The nurse should screen the students for glucose-6-phosphate dehydrogenase deficiency, because hemolysis is most likely to occur in individuals likely to have this condition, such as black populations and darker skinned Caucasians, such as Sardinians, Greeks, Iranians, and Sephardic Jews.
There are no indications to screen for Celiac sprue, hypothyroidism, or SIDAH.