What benefit would the nurse describe for treating pinworms and ...

[maychende]

What benefit would the nurse describe for treating pinworms and roundworms with a prescription for pyrantel instead of mebendazole?
 
  A) Pyrantel needs only be taken once.
  B) Mebendazole has many serious adverse effects.
  C) Pyrantel is excreted in the feces.
  D) Pyrantel is safer for children younger than 2 years.

Question 2

What is the nurse's priority to assess before giving a female patient her prescription for an angiotensin IIreceptor blocker (ARB)?
 
  A) Do you eat something when you take your medications?
  B) How much physical exercise do you get?
  C) When was your last menstrual period (LMP)?
  D) Have you always weighed 130 pounds since you grew up?

[juiceman1987]

Answer to Question 1

A
Feedback:
Pyrantel's big advantage is that it needs only be taken one time so it is a better choice for those who may not remember to take repeated doses. Mebendazole has very few side effects because very little of the medication is absorbed systemically so that is not a reason to prescribe pyrantel. Pyrantel is mostly excreted in the feces but some is also found in urine while mebendazole is only excreted in the feces so this does not benefit prescribing pyrantel. Pyrantel has not been established as safe for use in children under 2 years old.

Answer to Question 2

C
Feedback:
It would be important to know when the patient's LMP occurred and that the patient was not pregnant. These drugs can cause fetal abnormalities and fetal death. The other questions are appropriate and would help the nurse plan care for the patient; however, it would not be as important as assessing for the possibility of pregnancy before beginning of therapy. The nurse should teach the patient the need to avoid pregnancy using a barrier contraceptive.

[maychende]

TYSM

[aliotak]

Excellent