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Terms in this set (30)The nurse is comparing fungal infections with bacterial infections. Which statement by the nurse is true? 3. Fungal cells are eukaryotic, as are human cells. The nurse is instructing a client who will be taking fluconazole (Diflucan) at home for the treatment of a fungal infection. The nurse tells the client to increase fluid intake to _____ liters per day. round to the nearest whole number Answer: 2. The client on an oral antifungal drug should increase fluid intake to 2 L/day. A
client has been prescribed a new antifungal medication and asks the nurse why the medication must be taken for so many days. The nurse's response is based on the knowledge that fungal infections: 2. Treatment requires many months to fully eradicate the organism. A male client has been diagnosed with a dermatomycosis. The nurse informs the client that he has been diagnosed with which infection affecting the feet? 2. Tinea pedis affects the feet. The nurse is caring for a client with a fungal infection. Which statement by the client would indicate understanding of this type of infection? 3. Fungal infections can require months of treatment. The nurse should teach the client taking itraconazole (Sporanox) capsules that: 1. It can take 2 weeks for this medication to reach therapeutic levels. The
nurse knows that in recent years there has been a rising need for effective treatments for fungal infections because of: Select all that apply. 1,2,3,4. The past few decades have seen a dramatic rise in the incidence of fungal infections due to AIDS. Fungi are much more complex than bacteria and require a different approach to pharmacotherapy. The past few decades have seen a dramatic rise in the incidence of fungal infections due to aggressive cancer chemotherapy. Fungi are much more complex than bacteria and require a different approach to pharmacotherapy. The past few decades have seen a dramatic rise in the incidence of fungal infections due to the widespread use of indwelling intravenous (IV) catheters. Fungi are much more complex than bacteria and require a different approach to pharmacotherapy. The past few decades have seen a dramatic rise in the incidence of fungal infections due to the overuse of broad-spectrum antibiotics. Fungi are much more complex than bacteria and require a different approach to pharmacotherapy. The client has a fungal infection of the toenails, and receives oral terbinafine (Lamisil). The client asks the nurse how a pill will heal a nail
infection. The nurse explains that terbinafine: 1. Lamisil accumulates in the toenail. The nurse would correctly identify a superficial mycosis as one affecting the: Select all that
apply. 1,2,4,5. Infections in the skin would be considered superficial mycoses. Infections in the mucous membranes would be considered superficial mycoses. Infections in the nails would be considered superficial mycoses. Infections in the scalp would be considered superficial mycoses. The nurse is administering amphotericin B to a client with a serious systemic fungal infection. The client is experiencing acute fever, chills, and vomiting, and complains of headache. The nurse knows that this reaction occurs in _____% of clients and anticipates that symptoms will subside as treatment continues. Answer: 50. Amphotericin B can produce frequent and sometimes serious adverse effects. At the onset of therapy, as many as 50% of patients experience acute, infusion-related fever and chills, vomiting, anorexia, and headache. These symptoms usually subside as treatment continues. The nurse is reviewing a client's medical record and notes that recent culture results identify the organism aspergillosis. Based on this report, the nurse would recognize that the client has which type of infection? 2. Opportunistic fungal infections are more likely to be candidiasis, aspergillosis, cryptococcosis, and mucormycosis. The nurse is caring for a client with a tinea fungal infection. The nurse expects the client will have symptoms that primarily affect the: 4. Fungal infections of the skin and hair are called dermatomycoses. These infections are named by their Latin terms, beginning with tinea. The nurse would question the use of amphotericin B in the client concurrently receiving which medication? 2. Drug interactions with amphotericin B focus on worsening two of its potentially serious adverse effects: nephrotoxicity and hypokalemia. For example, concurrent therapy with aminoglycosides, cyclosporine, vancomycin, carboplatin, and furosemide is not recommended. The nurse would recognize which symptom as a sign of a serious adverse effect in a client taking amphotericin B? 3. Hematuria is a symptom of nephrotoxicity and possible renal failure. The nurse caring for a
hospitalized client monitors for which opportunistic fungal infections? Select all that apply. 1,2,4,5. An opportunistic fungal infection that is likely to be acquired in a hospital setting is candidiasis. An opportunistic fungal infection that is likely to be acquired in a hospital setting is aspergillosis. An opportunistic fungal infection that is likely to be acquired in a hospital setting is cryptococcosis. An opportunistic fungal infection that is likely to be acquired in a hospital setting is mucormycosis. A client with AIDS is suffering from a systemic fungal infection. The nurse anticipates that the drug of choice for this client will be: 2. The drug of choice for these disorders is amphotericin B. The nurse is providing instruction to a client with a fungal infection who will be discharged home soon. The nurse evaluates that learning has occurred when the client makes which statement(s)? Select all that apply. 1,2,3. Systemic fungal infections require many months of treatment with oral medications, many of which have serious side effects. Superficial fungal infections are considered more benign than are systemic infections. Newer medications can be used for both superficial and systemic infections. The nurse recognizes that which clients in a medical-surgical unit are at increased risk for acquiring systemic fungal infections and may require prophylactic pharmacological therapy? Select all that apply. 1,2,3,4. Prophylactic antifungal therapy is sometimes indicated for high-risk clients, such as those receiving prolonged therapy with corticosteroids. Prophylactic antifungal therapy is sometimes indicated for high-risk clients, such as those with HIV or AIDS. Prophylactic antifungal therapy is sometimes indicated for high-risk clients, such as those being treated with antineoplastic medications. Prophylactic antifungal therapy is sometimes indicated for high-risk clients, such as those who received an organ transplantation. The nurse is providing education regarding ketoconazole (Nizoral). The nurse knows the client has understood the teaching when the client states: 1. The most common side effect of ketoconazole is nausea. The nurse is providing discharge education for the patient with tinea corporis who will be taking nystatin cream. What instructions should the nurse include? 2. Not sharing towels helps prevent the spread of the disease. The nurse is caring for a client who has both a superficial and a systemic fungal infection. Which drugs can be used to treat both infections? Select all that apply. 1,2,3,4. Nizoral can be used to treat both types of infections. Vfend can be used to treat both types of infections. Sporanox can be used to treat both types of infections. Diflucan can be used to treat both types of infections. A female client has a fungal infection and will
receive griseofulvin. What assessment data is critical for the nurse to collect prior to administering this medication? 1. The medication is a pregnancy category C drug. A client is being treated with amphotericin B for a serious
systemic fungal infection. The nurse instructs the client to immediately report which adverse effects associated with this medication? Select all that apply. 1,3,4. Amphotericin B can cause ototoxicity potentially affecting both branches, cochlear and vestibular, of cranial nerve VIII. A loss of hearing can be indicative of ototoxicity and should be reported. Amphotericin B can cause ototoxicity potentially affecting both branches, cochlear and vestibular, of cranial nerve VIII. Dizziness can be indicative of ototoxicity and should be reported. Amphotericin B can cause ototoxicity potentially affecting both branches, cochlear and vestibular, of cranial nerve VIII. A ringing in the ears can be indicative of ototoxicity and should be reported. A pediatric client presents with tinea
capitis. The nurse anticipates that the infection will be treated with griseofulvin (Fulvicin) for 8 to 10 weeks at a dose of ______ mg/kg/day. rounding to the nearest whole number Answer: 10. The typical regimen for griseofulvin (Fulvicin) is 10 mg/kg/day for 8 to 10 weeks. The nurse is caring for a client
who will be discharged on griseofulvin. The nurse includes which instruction in the discharge teaching? 1. The client should be instructed to increase fluid intake to 2 L/day when taking an oral antifungal drug such as griseofulvin A
client is due to receive fluconazole (Diflucan) for a fungal infection. The nurse would question an order specifying which route of administration? Select all that apply. 2,4,5. The nurse should question an order for this medication to be administered by IM injection. The nurse should question an order for this medication to be administered by SQ injection. The nurse should question an order for this medication to be administered topically. The nurse works in infection control at a large hospital. Which client does the nurse recognize as being at greatest risk of acquiring a fungal infection? 2. Chemotherapy will decrease the client's immune response, thereby increasing susceptibility to fungal infection. A client has a serious systemic fungal infection. The nurse anticipates that the physician will prescribe which medications to treat this infection? Select all that apply. 1,2,3. Pharmacologic options for serious systemic mycoses are limited. Amphotericin B (Fungizone) has been the traditional drug of choice since the 1960s. Pharmacologic options for serious systemic mycoses are limited. Although rarely used as monotherapy, flucytosine (Ancobon) is sometimes used in combination with amphotericin B in the pharmacotherapy of severe Candida infections. Pharmacologic options for serious systemic mycoses are limited. Caspofungin (Cancidas) is a newer drug that is becoming an important alternative to amphotericin B in the treatment of aspergillosis. The nurse correctly identifies that the client with which disorder is at greatest risk of acquiring a fungal infection of the nail? 2. The client with diabetes has a 1-in-4 chance of developing a fungal infection of the nail due to poor circulation. The nurse is caring for several clients on a medical unit in the hospital. Which client does the nurse recognize as being at greatest risk of acquiring an oral Candida infection? 4. Clients taking inhaled corticosteroids experience local immunosuppression in the oral cavity. Sets with similar termsPharmacology Chapter 11: Antifungal Agents33 terms aavila461 Chapter 5 -- STIs55 terms Oxxenfree Pharm Ch 8: Anti-Infective Agents52 terms Rebecca_Simpson79 Pharmacology Prep U Chapter 13 Antihelmintic Agents89 terms heeka1823 Sets found in the same folderNursing Pharm Ch52 Fluoroquinolones and Miscellane…31 terms sallymays80 Pharm Ch 58 HIV-AIDS49 terms sallymays80 Ch 50 Quiz30 terms Vishap pharm ch 5143 terms Marie-Therese2 Other sets by this creatorLewis Ch 59 Chronic Neurologic Problems36 terms sallymays80 Pharm Ch 27 Muscle Spasms and Spasticity21 terms sallymays80 Pharm Ch 22 Anxiety and Sleep Disorders39 terms sallymays80 Pharm Ch 57 Non-HIV30 terms sallymays80 Other Quizlet setsSystems Quiz 112 terms E_Schwartz9 Programming Fund I Test 195 terms benpozz Literature Semester One Quotes31 terms Jade_W4 CJ 280 Test 323 terms mgjoycePLUS Related questionsQUESTION What is the MOA of Permethrin (Nix) and what is it used to treat? 10 answers QUESTION How can genital warts be prevented? 15 answers QUESTION what is the shingles/herpes zoster virus? 8 answers QUESTION Systemic lupus erythematosus (a bodywide immunologic disease) 5 answers What is the best treatment for tinea capitis?Oral antifungals are needed to effectively treat tinea capitis. Terbinafine, itraconazole, and fluconazole are the preferred agents for tinea capitis. Griseofulvin is also effective and may be used in resource-poor settings where other antifungals are not available.
What is the first line treatment for tinea capitis?Oral terbinafine is first-line therapy for tinea capitis and onychomycosis because of its tolerability, high cure rate, and low cost. However, kerion should be treated with griseofulvin unless Trichophyton has been documented as the pathogen.
How is tinea capitis managed?It is usually treated with antihistamines and topical corticosteroid medications. Sometimes, children with ringworm develop a severe reaction to the infection in their scalp (called a kerion). The child will have swelling, pain and pus in the scalp; fever may also develop.
How do you treat tinea capitis at home?Here are six simple ways to treat ringworm.. Apply a topical antifungal. Most cases of ringworm can be treated at home. ... . Let it breathe. ... . Wash bedding daily. ... . Change wet underwear and socks. ... . Use an antifungal shampoo. ... . Take a prescription antifungal.. |
What should the nurse instruct the female client with tinea capitis to do? select all that apply
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