Nokea
A client is receiving amphotericin B IV. The nurse identifies a nursing diagnosis of Impaired Comfort related to medication administration. The nurse determines that the plan of care was effective when which outcome is achieved?
- A. Client remains free from rigors.
- B. Client exhibits a blood pressure within acceptable parameters.
- C. Client maintains a patent IV infusion site.
- D. Client maintains a urine output of at least 30 mL/hour.
- E. Client demonstrates procedure for cleaning involved area.
Correct Answer: A,B,C
Rationale: The patient receiving amphotericin B IV can experience rigors, hypotension, and problems with the IV infusion site. Therefore, remaining free from rigors and maintaining a stable blood pressure and a patent IV infusion site would indicate that the plan of care for impaired comfort is successful. A urine output of 30 mL/hour would be an indicator of adequate renal tissue perfusion. Cleaning the involved area would not be appropriate because the client has a systemic fungal infection.
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A nurse is preparing a plan of care for a client who is prescribed an antiparasitic agent. Which nursing diagnosis would the nurse most likely identify related to the client's drug therapy?
- A. Impaired Comfort
- B. Diarrhea
- C. Risk for Ineffective Tissue Perfusion
- D. Risk for Deficient Fluid Volume
- E. Risk for Impaired Respiratory Function
Correct Answer: B,D,E
Rationale: Drug-specific nursing diagnoses when discussing the treatment of parasitic infection include Diarrhea, Risk for Deficient Fluid Volume, Imbalanced Nutrition, and Risk for Impaired Respiratory Function.
A group of nursing students are reviewing information about clotrimazole vaginal preparations. The students demonstrate understanding of the drug when they identify which of the following as a trade name for the drug?
- A. Lotrimin
- B. Monistat
- C. Vagistat-1
- D. Terazol
- E. Mycelex
Correct Answer: A,E
Rationale: Lotrimin and Mycelex are trade names for clotrimazole vaginal preparations. Monistat is the trade name for miconazole. Vagistat-1 is the trade name for tioconazole. Terazol is the trade name for terconazole.
A patient has been prescribed albendazole on an outpatient basis for an anthelmintic infection. After teaching the patient about the therapy, which statement by the patient indicates effective teaching?
- A. Easy bruising or bleeding is normal and neednt be reported.
- B. I need to disinfect the bathtub or shower stall immediately after bathing.
- C. I should avoid bathing daily if I have problems with my skin.
- D. I need to use oral contraceptives while I'm taking this drug.
Correct Answer: B
Rationale: The nurse should instruct the patient to disinfect the bathtub or shower stall immediately after bathing to avoid spreading the infection. Thrombocytopenia or easy bruising or bleeding is not normal and should be reported immediately. Impaired skin integrity is not associated with albendazole, so there is no need to avoid bathing daily. Instead of oral contraceptives, the nurse should recommend the barrier method during the course of therapy and for 1 month after discontinuing the therapy.
A patient is receiving doxycycline as short-term therapy for malaria. Which of the following instructions would the nurse include in the teaching plan about the possible side effects of the drug?
- A. Avoid taking warfarin because it increases the risk of bleeding.
- B. Avoid exposure to the sun by wearing protective clothing.
- C. Take the drug with food, or immediately afterward.
- D. Do not drive or perform other activities requiring alertness.
Correct Answer: B
Rationale: The nurse should instruct the patient to avoid exposure to the sun by wearing protective clothing (e.g., long-sleeved shirts, wide-brimmed hats) and by using sunscreen. Combining warfarin with quinine, not doxycycline, increases the risk of bleeding. Doxycycline should be taken on an empty stomach. Doxycycline does not impair alertness, so the patient can drive or perform other activities requiring alertness.
A nurse would use caution when administering itraconazole (Sporanox) to clients with which of the following conditions?
- A. Hypertension
- B. Glaucoma
- C. HIV
- D. Hypochlorhydria
- E. GERD
Correct Answer: C,D
Rationale: Itraconazole (Sporanox) should be used with caution in clients with HIV infection and hypochlorhydria.