Nokea
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.
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Which of the following would the nurse include in the teaching plan as an adverse reaction for a client receiving antihelminthic therapy?
- A. Hypotension
- B. Drowsiness
- C. Abdominal pain
- D. Hypoglycemia
- E. Nausea
Correct Answer: B,C,E
Rationale: Antihelminthics cause several generalized adverse reactions that the client should be advised of, including drowsiness, dizziness, nausea, vomiting, abdominal pain and cramps, and diarrhea.
Which of the following should be included in the teaching plan when instructing a female client on the use of miconazole (Monistat) vaginal cream?
- A. Discontinue drug during the menstrual period.
- B. Avoid nylon and tight-fitting garments to avoid reinfection.
- C. Wear a sanitary napkin after insertion to prevent staining of clothes and bed linens.
- D. Do not have intercourse while taking the drug to avoid reinfection.
- E. If there is no improvement in 2 days, stop using the drug and consult a physician.
Correct Answer: B,C,D
Rationale: When instructing a female client on the use of miconazole (Monistat) vaginal cream, the nurse should include the following: inserting the drug high in the vagina using the applicator provided: wearing a sanitary napkin after insertion of the drug to prevent staining of clothes and bed linens; continuing the drug during the menstrual period; not having intercourse while taking the drug or advising her partner to use a condom to avoid reinfection; avoiding nylon and tight-fitting garments to avoid reinfection; stopping the drug and notifying the primary health care provider if there is no improvement in 5 to 7 days; and if abdominal pain, pelvic pain, rash, fever, or offensive-smelling vaginal discharge is present, not using the drug but notifying the physician.
The primary health care provider has prescribed quinine for a client. The patient is also taking warfarin. Which of the following would be most important for the nurse to keep in mind about this combination when providing care to the patient?
- A. Quinine absorption is increased.
- B. Metabolism of quinine is increased.
- C. The patient is at increased risk for bleeding.
- D. The patient's risk for a heart attack is increased.
Correct Answer: C
Rationale: Combining warfarin with quinine increases the risk of bleeding. There is no risk of increased absorption or increased metabolism and no increased risk of heart attack associated with taking warfarin and quinine.
A group of nursing students are reviewing information about fungal infections. The students demonstrate understanding of the information when they identify which of the following as a superficial fungal infection?
- A. Aspergillosis
- B. Cryptococcal meningitis
- C. Thrush
- D. Malaria
Correct Answer: C
Rationale: Thrush is also oral candidiasis, a superficial fungal infection of the oral mucosa. Aspergillosis and cryptococcal meningitis are systemic fungal infections. Malaria is a protozoal infection.
The nurse is teaching a client and his family about administering pentamidine at home. Which statement by the client indicates a need for additional teaching?
- A. I should protect the solution from direct light.
- B. The entire treatment should take no more than 15 minutes.
- C. I need to dissolve the drug in the correct amount of sterile water.
- D. Only the pentamidine solution should go into the nebulizer's reservoir.
Correct Answer: B
Rationale: The pentamidine treatment typically lasts about 30 to 45 minutes. The solution should be protected from light after the drug is dissolved with the proper amount of sterile water. No other drugs should be added to the reservoir.