A patient is being treated at a hospital in Africa for ...

[sammy]

A patient is being treated at a hospital in Africa for multidrug-resistant falciparum malaria. The patient is to be given artemether (Artenam) and artensunate.
 
  Which additional condition that the patient has would warrant another choice of medication? a. High, transient fever
  b. High concentrations of iron in the blood
  c. Pulse of 103
  d. First-degree heart block

Question 2

The nurse is providing patient education to a patient who is planning a trip to a region where malaria is endemic.
 
  What information is most relevant regarding prophylactic use of chloroquine (Aralen)? The patient should take the medication _____ prior to expected exposure and _____ after returning from the endemic region. a. 2 weeks; 2 weeks
  b. 3 weeks; 3 weeks
  c. 1 week; 4 weeks
  d. 3 days; 1 week

[helenmarkerine]

Answer to Question 1

D
First-degree heart block would warrant another choice of medication, because artemether and artensunate can cause a transient first-degree heart block.
A high, transient fever is a typical manifestation in a patient with malaria, therefore it is not ab-normal.
The drugs require a high concentration of iron in the blood, therefore this is a desirable condition.
A pulse of 103 would have no bearing on the choice of medication; a high pulse may b expected with a fever.

Answer to Question 2

C
Chloroquine should be taken for 1 week prior to expected exposure and for 4 weeks after return-ing from an endemic region.
The time frames in these answer choices are incorrect for prophylactic use of chloroquine.

[sammy]

Both answers were spot on, thank you once again

[helenmarkerine]

Great! Please up vote