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Assignment:
A 40-year-old male has returned to the US after working in a missionary health clinic in a malaria-endemic area. He was admitted to the hospital with fever, chills, and severe unrelieved headache. A diagnosis of acute malaria was made. Chloroquine was ordered, and the patient discharged. One week later, he returned to the emergency room with worsening symptoms and signs of confusion. The patient states he took his pills every other day then stopped because they made him sick and decided to take OTC antinausea medication. The patient was readmitted to the hospital. A care coordination meeting was scheduled with the patient, family, health care provider, and pharmacist to determine ways to improve medication adherence.
1. Which key factors should be assessed in this patient's history?
2. What is the significance of monitoring liver function tests, BUN/Cr, and CBC?
3. Describe the correct method of preventive prophylaxis when taking antimalarial drugs.
4. What patient teaching or actions would the nurse need to provide for the client - list at least 3?
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