Author Question: Why is a filariae infestation potentially fatal? A) Worm-like embryos overwhelm the lymphatic ... (Read 63 times)

darbym82 · **on:** Jul 23, 2018

Why is a filariae infestation potentially fatal?

A) Worm-like embryos overwhelm the lymphatic system
B) Worm-like embryos invade the central nervous system (CNS)
C) Worm-like embryos destroy the gastric mucosa
D) Worm-like embryos hibernate in the brain

Question 2

Richard, 15 years old, has been diagnosed with epilepsy. He is to be sent home on oral phenytoin 100 mg b.i.d. What statement by Richard's mother leads the nurse to believe she has understood drug teaching?

A) I will make sure he takes the medication on an empty stomach.
B) I will stop the drug immediately if any side effects occur.
C) I will make sure he has routine visits to the dentist.
D) I will weigh him daily and feed him a high-calorie diet.

Tabitha_2016 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

A
Feedback:
Filariasis refers to infection of the blood and tissues of healthy individuals by worm embryos, which enter the body via insect bites. These thread-like embryos, or filariae, can overwhelm the lymphatic system and cause massive inflammatory reactions. While any system can be impacted due to the effect on the blood and lymphatic system, the filariae do not invade the CNS, gastric mucosa, or the brain specifically.

Answer to Question 2

C
Feedback:
Gingival hyperplasia is common in patients, especially children, who take phenytoin, which makes regular dentist visits important to oral health. Taking the medication on a full stomach or with meals reduces gastrointestinal (GI) adverse effects. The mother should call the health care provider if adverse effects are noted and needs to understand the risks associated with abrupt withdrawal of the medication. Daily weight taking and high-calorie diets are not associated with phenytoin administration.