Nokea
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.
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Which of the following would the nurse include in the teaching plan for a client about the use of an antifungal cream preparation for the treatment of ringworm in the ambulatory care setting?
- A. Clean involved area before applying cream.
- B. Increase the amount of cream used if skin infection worsens.
- C. Decrease the frequency of applying cream if skin infection improves.
- D. Keep towels and washcloths for bathing separate from other family members during treatment.
- E. Keep the affected area clean and moist.
Correct Answer: A,D
Rationale: When instructing a client about the use of an antifungal cream preparation for the treatment of ringworm in the ambulatory care setting, the nurse should include the following: cleaning the involved area and applying the cream to the skin as directed by the physician, not increasing or decreasing the amount used or number of times the cream should be applied unless directed to do so by the physician, keeping the affected area clean and dry, and keeping towels and washcloths for bathing separate from those of other family members to avoid the spread of infection.
After teaching a group of nursing students about the actions of the various antifungal drugs, the instructor determines that the teaching was successful when the students identify which drug as having only fungistatic activity?
- A. Fluconazole
- B. Amphotericin B
- C. Miconazole
- D. Nystatin
Correct Answer: A
Rationale: Fluconazole has fungistatic activity, whereas amphotericin B, miconazole, and nystatin exert both fungicidal and fungistatic activity.
After teaching a group of nursing students about amphotericin B, the instructor determines that the teaching was successful when the students identify which of the following as true?
- A. The drug is light sensitive.
- B. It can be administered via IM injection.
- C. The drug can cause renal damage.
- D. Amphotericin B is administered in the outpatient setting.
- E. The drug should be used within 8 hours.
Correct Answer: A,C,E
Rationale: Amphotericin B is given only under close supervision in the hospital setting, can cause renal damage, is given IV usually over a period of 6 hours, and should be protected from light and used within 8 hours of reconstitution.
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.
A patient has been diagnosed with amebiasis. Which of the following would the nurse do regularly when caring for this patient?
- A. Take vital signs every 8 hours
- B. Freeze any stool samples for testing
- C. Avoid foods that acidify the urine
- D. Provide the patient with small, frequent meals
Correct Answer: D
Rationale: The nurse should ensure that the patient has small, frequent meals (five to six daily) because these may be more appealing than three large meals. The nurse should take vital signs every 4 hours, not 8. Stool samples for testing should be maintained at room temperature and not frozen. There is no need to avoid foods that acidify the urine.