NUR 2092 PHARMACOLOGY CH - 11 ANTIFUNGAL AGENTS-73 QUESTIONS WITH VERIFIED SOLUTIONS ALREADY GRADED A+

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 A parent has informed the nurse that she has been applying an over the counter antifungal to her infant's buttocks and perineal region for a rash. What question related to safety should the nurse ask the parent? "Are there any open wounds on the areas where you're putting the ointment?" Which drug is most commonly used orally to treat infections caused by Candida albicans? Fluconazole (Diflucan) An adult client has begun treatment with fluconazole. The nurse should recognize the need to likely discontinue the drug if the client develops which sign or symptom? Jaundice The nurse is caring for a client who has been prescribed micafungin, 150 mg IV daily. What assessment should the nurse prioritize in this client's care? Inspection of the client's mouth and throat A nurse is instructing a 19-year-old female patient on the use of fluconazole for candida vaginitis. A teaching priority will be to: use an alternative form of birth control, if taking an oral contraceptive. 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 placed on amphotericin B. The nurse caring for this client should administer this medication: intravenously. 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. 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." The client is receiving ketoconazole. The nurse should be concerned about a drug-drug interaction on the basis of what other comorbidity? Type 2 diabetes The nurse is caring for a client diagnosed with a life-threatening systemic fungal infection that is not responding to treatment with an azole. What medication should the nurse anticipate the provider may order next? Amphotericin B The nurse is caring for several clients who have fungal infections. Which client should the nurse prioritize for informing the provider? A client receiving amphotericin B whose torso appears jaundiced 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. What serious adverse effect is most associated with amphotericin B? Nephrotoxicity 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 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." Ketoconazole is available in oral form, a shampoo, and a cream. True Amphotericin B is ordered for a client with thrush. How does the drug combat the infection? It acts on the fungal cell membrane. 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 with a systemic fungal infection and a history of diabetes is to receive an antifungal agent. Based on the nurse's understanding about these agents, which agent would the nurse expect as being the least appropriate? Ketoconazole Incidence of fungal infections has increased with the rising number of people who are immunocompromised. What groups are considered to have a compromised immune system? (Select all that apply.) Clients with acquired immune deficiency syndrome (AIDS) and AIDS-related complex (ARC) Clients taking immunosuppressant drugs Clients who have undergone transplantation surgery or cancer treatment Anidulafungin is prescribed to treat what form of fungal infection? candidiasis The nurse is caring for a client whose fungal infection is being treated with ketoconazole. What change in the client's health status should the nurse prioritize when updating the provider on the client's condition? The client's aspartate aminotransferase (AST) and alanine aminotransferase (ALT) levels are elevated A client has been prescribed sulconazole for the treatment of tinea pedis. When nursing diagnosis should the nurse identify when planning this client's care? Risk for impaired skin integrity related to local irritation An 80-year-old woman is receiving treatment with oral fluconazole for a fungal infection Following yesterday's and today's dose, she reports an upset stomach to the charge nurse. How should the nurse at the facility best respond to the woman's report? Provide food along with the fluconazole when administering it in the future. When administering the azoles in the home setting, the home health nurse should prioritize educational interventions that address what nursing diagnosis? Risk for infection related to antifungal therapy A client has been diagnosed with a fungal infection and been prescribed a topical antifungal medication. What assessment question should the nurse ask when addressing the possible etiology of the fungal infection? "Have you been prescribed any antibiotics in the recent past?" What medications are classified as echinocandin antifungals? (Select all that apply.) Anidulafungin Caspofungin Micafungin A major component of fungal cell walls is β-(1,3)-D-glucan. Which antifungal drug combats infection by inhibiting synthesis of β-(1,3)-D-glucan? micafungin The nurse is treating a client for a systemic fungal infection with an oral fungicide. What would be an important nursing action for the nurse to perform? Order dietary consultation as needed to ensure nutritional status. Which antifungal agent is available for systemic and topical use? Ketoconazole A client reports using sertaconazole nitrate for the past 5 weeks, stating, "I've been following the directions closely, but my athlete's foot just won't clear up." What is the nurse's best response? "You should make an appointment with your provider because it's not healthy to use that medication for that long." A client has a history of deep vein thrombosis, for which warfarin has been prescribed. When providing education for this client, who is now also taking fluconazole to treat a localized candidal infection, the nurse should provide what instruction? Have routine laboratory tests done to monitor the effects of warfarin. An older adult client has asked the primary health care provider for a prescription that will help to resolve her "warped toenails." The health care provider has diagnosed the woman with onychomycosis. The nurse should anticipate that this client will be treated with what drug? Terbinafine An adult client who is critically ill with histoplasmosis has been prescribed amphotericin B 60 mg PO daily. What aspect of this order should the nurse discuss with the prescriber? The route When assessing for potential signs and symptoms of cryptococcosis, the nurse should prioritize what assessment? Neurological assessment An older adult resident of a long-term care facility has been diagnosed with a fungal infection and has been prescribed fluconazole. What change in the client's laboratory values may necessitate a change in medication therapy? decreased creatinine clearance The nurse is caring for a client receiving amphotericin B. Which condition should the nurse assess for in this client? Phlebitis Incidence of fungal infections has increased with the rising number of people who are immunocompromised. What groups are considered to have a compromised immune system? (Select all that apply.) Clients with acquired immune deficiency syndrome (AIDS) and AIDS-related complex (ARC) Clients taking immunosuppressant drugs Clients who have undergone transplantation surgery or cancer treatment The elderly The nurse is providing care for a diverse group of clients. Which client should the nurse monitor most closely for signs and symptoms of a fungal infection? A client who is receiving combination therapy for acquired immunodeficiency syndrome (AIDS) The nurse is teaching peers about fungal infections and describes the cell membrane of a fungal cell how? Contains ergosterol