Planning

° Patient will be free of malarial symptoms

• Nursing interventions

° Monitor urinary output (600 mL/d) and liver function (liver enzymes)

° Report if serum liver enzymes are elevated

• Client teaching

° Advise patients traveling to malaria-infested countries to take prophylactic doses of antimalarial drugs before leaving, during the visit, and upon return.

° Instruct patient to take oral antimalarial drugs with food or at mealtime if GI upset occurs.

° Monitor patients returning from international travel for malarial symptoms.

° Instruct the client to report vision or hearing changes immediately.

° Advise the patient to avoid consuming large quantities of alcohol.

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