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Pharmacology
Chapter 11 Questions
| Question | Answer |
|---|---|
| A client with a fungal infection has been prescribed a miconazole vaginal suppository. What education should the nurse provide about safe and effective administration? | "If possible, lie down for 10 or 15 minutes after inserting the medication." |
| An older adult client has been diagnosed with candidiasis and prescribed fluconazole. What aspect of the client's health status should warrant close monitoring by the nurse? | The client has atrial fibrillation and takes warfarin daily |
| Ketoconazole is available in oral form, a shampoo, and a cream. | True |
| A nurse is caring for a client who asks why she has been prescribed posaconazole following kidney transplantation. The nurse responds that posaconazole is used as prophylaxis to prevent: | Aspergillus infection. |
| The client is receiving ketoconazole. The nurse should be concerned about a drug–drug interaction on the basis of what other co-morbidity? | Type 2 diabetes |
| An adult client, recently diagnosed with a tinea infection, has begun treatment with griseofulvin. During a scheduled clinic visit, the client states to the nurse, “I'm pretty good at reading my body's signals, so I make sure to take a bit extra when I think my infection is getting worse.” This client's statement is suggestive of what nursing diagnosis? | deficient knowledge related to correct use of griseofulvin |
| A client has been prescribed a topical antifungal ointment to treat a fungal infection between her breasts. When providing education about this medication, the nurse should encourage the client to: | wash and dry the affected area before applying the ointment. |
| Amphotericin B is ordered for a client with thrush. How does the drug combat the infection? | It acts on the fungal cell membrane. |
| What serious adverse effect is most associated with amphotericin B? | Nephrotoxicity |
| A pharmacology student is learning about amphotericin B. This drug can be administered via which route? | IV |
| A client is receiving amphotericin B. The nurse would assess the client closely for which adverse reaction? | renal impairment |
| A client is receiving gentian violet as topical treatment for a fungal infection. What instruction should the nurse include in the teaching plan? | "This medication can stain your skin and clothing." |
| A client is being treated for histoplasmosis with amphotericin B. The nurse has completed a comprehensive assessment of the client and should report what assessment finding? | The client's urine output is 75 mL over six hours |
| A client is receiving flucytosine. The nurse is reviewing the client’s serum drug level. Which serum drug level would lead the nurse to suspect that the client is developing toxicity? | 110 mcg/mL |
| A client with a cutaneous fungal infection has been prescribed naftifine. When reviewing the prescriber’s instructions, what should the nurse explain to the client? | Make sure you don’t use this for more than one month." |
| A client tells the nurse that she has taken several doses of over-the-counter fluconazole to treat a "yeast infection." When assessing the client's risk for drug toxicity, what aspect of the client's health status should the nurse prioritize? | The client has decreased renal function following recent pyelonephritis |
| The nurse is providing care for a client who is being treated with a systemic antifungal. When monitoring for adverse effects, the nurse should include what assessments? (Select all that apply.) | Monitoring the client's bilirubin, albumin, AST, and ALT levels Monitoring the client's red cell, white cell, and platelet levels Reviewing the client's glomerular filtration rate (GFR) |
| A client taking an oral antifungal agent reports gastrointestinal upset. Which would be most appropriate to suggest? | Having the client take the drug with food |
| The nurse is educating an 82-year-old client regarding amphotericin B (Fungizone). The nurse knows the client understand when the client states that he could develop which adverse effect? | Damage to his kidneys |
Created by:
bonitasoul
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