A woman is traveling to a country where she
will be at high risk for malarial infection. What will the nurse teach her regarding prophylactic therapy with hydroxychloroquine (Plaquenil)?
a. Hydroxychloroquine is better absorbed and has fewer adverse effects if taken on an empty stomach.
b. The drug is started 3 weeks before exposure but can be discontinued once she leaves the area.
c. The medication is taken only when she observes mosquito bites because it can have toxic effects if taken unnecessarily.
d. The drug is usually started 1 to 2 weeks before traveling to endemic areas and is continued for 4 weeks after leaving the area.
Question 2
The nurse is administering an amphotericin B infusion. Which actions by the nurse are appropriate? (Select all that apply.)
a. Administering the medication by rapid IV infusion
b. Discontinuing the drug immediately if the patient develops tingling and numbness in the extremities
c. If adverse effects occur, reducing the IV rate gradually until they subside
d. Using an infusion pump for IV therapy
e. Monitoring the IV site for signs of phlebitis and infiltration
f. Administering premedication for fever and nausea
g. Knowing that the intravenous solution for amphotericin B will be cloudy
h. Knowing that muscle twitching may indicate hypokalemia
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