Nokea
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.
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A patient is prescribed metronidazole for intestinal amebiasis. Which of the following instructions should the nurse give to the patient regarding the drug?
- A. Take the drug on an empty stomach.
- B. Avoid intake of alcohol.
- C. Guard against effects of photosensitivity.
- D. Take phenobarbital for impaired sleep.
Correct Answer: B
Rationale: The nurse should instruct the patient to avoid the use of alcohol, in any form, until the course of treatment is completed. The ingestion of alcohol may cause a mild to severe reaction, with symptoms of severe vomiting, headache, nausea, abdominal cramps, flushing, and sweating. Metronidazole should be taken with food or meals, not on an empty stomach. Photosensitivity is not one of the side effects of metronidazole. Phenobarbital should be avoided, as it increases the metabolism of metronidazole.
A nurse is conducting a class for a local community group about herbal agents. Which of the following would the nurse include as being effective against fungal skin infections?
- A. Tea tree oil
- B. Gingko biloba
- C. Valerian root
- D. Fever few
- E. Garlic
Correct Answer: A,E
Rationale: Tea tree oil and garlic are two herbs that researchers have identified as having antifungal properties to treat skin infections.
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.
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.
Which of the following would the nurse emphasize when teaching the client and family about measures to prevent reinfection and the transmission of a parasitic infection to others?
- A. Wash hands thoroughly before preparing or eating food.
- B. Disinfect toilets daily.
- C. Bathe daily.
- D. Disinfect the bathtub or shower stall immediately after bathing.
- E. Avoid putting fingers in the mouth or biting fingernails.
Correct Answer: A,B,C,D,E
Rationale: Important measures to include in the teaching plan to prevent reinfection and the transmission of a parasitic infection to others include the following: washing hands thoroughly before preparing or eating food, disinfecting toilets daily, bathing daily (showering is best), disinfecting the bathtub or shower stall immediately after bathing, and avoiding putting fingers in the mouth or biting fingernails.