N213: Health Differences Across the Life Span 3

N213: Health Differences Across the Lifespan 3 Study Guide ©2017 Achieve Test Prep Page 44 of 204 o Tape examination from rectum for pinworms Nursing diagnosis for parasitic infections: • Risk for skin breakdown related to pruritis; itching secondary to pinworms • Risk for altered nutrition; less than body requirements related to parasites • Diarrhea related to changes in intestinal environment, secondary to parasites • Activity intolerance related to depletion of nutrients, secondary to parasitic infection • Knowledge deficit related to disease management and risk of transmission Nursing interventions for parasitic infections: • Monitor for nutritional status and skin breakdown • Teach hygiene, handwashing technique, and home hygiene to prevent transmission or re- infection • Give antiparasitic medications per MD order: o Flagyl (metronadozale): Used for Giardiasis; side effects include dark urine, dizziness, headache, dry mouth, and abdominal pain o Vermox (mebedenzole): Used for enterobiasis, trichinosis, ascariasis, and hookworm; side effects can include abdominal pain, diarrhea, dizziness, headache, drowsiness, and vomiting o Antiminth (pyrantel pamoate): Used for ascariasis, enterobiasis, and hookworm; side effects can include nausea, abdominal pain, vomiting, and rash o Biltricide (praziquantel): Used for schistosomiasis and taeniasis; side effects include stomach upset, dizziness, and nausea • Offer high calorie, nutritionally dense foods • Monitor for weight loss • Encourage increased fluids • Offer sitz baths for rectal irritation Expected outcomes for parasitic infections: • Demonstrates absence of skin breakdown to the perianal area • Demonstrates adequate food and fluid intake • Demonstrates reduction in diarrhea • Demonstrates tolerance of increased activity levels • Verbalizes understanding of disease process, treatment, and transmission risk Stool culture for ova and parasites • Evaluate laboratory reports o

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