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Author Question: A family has just returned from a camping trip, and all family members have diarrhea and colicky ... (Read 86 times)

krzymel

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on: Jul 23, 2018
A family has just returned from a camping trip, and all family members have diarrhea and colicky abdominal pain after eating.
 
  The parents report that they drank water from a well while on the camping trip. While awaiting stool cultures, the nurse will expect the provider to order which agent empirically?
  a. Iodoquinol (Yodoxin)
  b. Metronidazole (Flagyl)
  c. Miltefosine (Impavido)
  d. Sodium stibogluconate (Pentostam)

Question 2

The nurse is monitoring a patient who is receiving an inhalation treatment with pentamidine (NebuPent). The patient begins to cough and states that he is having trouble breathing. What is the best action by the nurse?
 
  a. Administer a PRN dose of a bronchodilator.
  b. Discontinue the inhalation treatment.
  c. Nothing, because these are expected adverse effects of pentamidine.
  d. Reduce the rate of the inhalation treatment.


Carliemb17

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Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: B
This family most likely has giardiasis, which can be acquired by drinking contaminated water. Metronidazole is the drug of choice for this infection. Iodoquinol is used for asymptomatic amebiasis. Miltefosine and sodium stibogluconate are used to treat leishmaniasis.

Answer to Question 2

ANS: A
Cough and bronchospasm are the most common adverse reactions associated with inhaled pentamidine. These reactions can be controlled with an inhaled bronchodilator. Reducing the rate of the inhalation treatment or discontinuing the treatment is not an appropriate action. Doing nothing is not sufficient when the patient is having trouble breathing.


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krzymel

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Reply #2 on: Jul 23, 2018
TY


Carliemb17

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Reply #3 on: Jul 23, 2018
You're welcome


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