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Chapter 42 Antifungal Drugs NCLEX questions

Terms in this set (16)

the nurse is assessing the patient who is about to receive anti fungal drug therapy. Which problem would be of most concern
A. endocrine disease
B Hepatic disease
C. Cardiac disease
D. pulmonary disease
B Hepatic disease
while monitoring a patient who is receiving intravenous amphotericin B, the nurse expects to see which adverse effects
A. hypertension
B. Bradycardia
C Fever and chills
D. Diarrhea and stomach cramps
C. fever and chills
when administering ant fungal drug therapy the nurse knows that an issue that contributes to many of the drugs interactions with anifungals is the patents
A. history of cardiac disease
B. history of gallbladder disease
C. ethnic background
D. Cytochrome P-450 enzyme system
D cytochrome P-450 enzyme system
during an infusion of amphotericin B, the nurse knows that which administration technique may be used to minimize infusion-related adverse effects
A. forcing of fluids during the infusion
B. infusing the med quickly
C. infusing the med over a long period of time
D. stopping the infusion of 2 hours after half of the bag has infused and then resuming 1 hour later
C. infusing the med over a long time
when teaching a patient who is taking nystatin lozenges for oral candidiasis, which instruction by the nurse is correct?
A. chew the lozenges carefully before swallowing
B. dissolve the lozenge slowly and completely in your mouth
C. dissolve the lozenges until it is half the original size and then swallow it
D. theses lozenges need to be swallowed whole with a glass of water
B. dissolve the lozenge slowly and completely in your mouth
when monitoring a patient who is receiving casofungin, the nurse will look for which serious adverse effects (select all that apply)
A. blood dycrasias
B. hypotension
C. pulmonary infiltrates
D. tinnitus
E. Hepatotoxicity
A, B, E
the nurse notes in a patients medication history that the nurse is taking terbinafine. based on this finding the nurse interrupts that the patient has which disorder?
A. vaginal candidiasis
B. cryptococcal meningitis
C. incase aspergillosis
D. Onychomycosis
D. Onychomycosis
What is the MOST common drug used to treat oral candidiasis?
A. Oseltamivir (Tamiflu)
B. Nystatin (Mycostatin)
C. Amantadine (Symmetrel)
D. Griseofulvin (Fulvicin P/G)
B. Nystatin (Mycostatin)
What is the MOST important action for the nurse to complete before administration of intravenous (IV) amphotericin B?
A. Assess for nausea and vomiting.
B. Monitor for cardiac dysrhythmias.
C. Check for premedication prescriptions.
D. Monitor IV site for signs of phlebitis.
C. Check for premedication prescriptions.
Which antifungal drug can be given intravenously to treat severe yeast infections as well as a one-time oral dose to treat vaginal yeast infections?
A. Voriconazole (Vfend)
B. Nystatin (Mycostatin)
C. Fluconazole (Diflucan)
D. Caspofungin (Cancidas)
C. Fluconazole (Diflucan)
A client visits the health care provider for treatment of tinea pedis (athlete's foot). Which medication would the nurse MOST likely instruct the client to take to treat this condition?
A. Terbinafine (Lamisil)
B. Voriconazole (Vfend)
C. Caspofungin (Cancidas)
D. Amphotericin B (Amphocin)
A. Terbinafine
The nurse needs to know that major adverse effects are MOST common by which drug?
A. Fluconazole (Diflucan)
B. Ketoconazole (Nizoral)
C. Griseofulvin (Fulvicin P/G)
D. Amphotericin B (Amphocin)
D Amphotericin
The nurse would question a prescription for voriconazole (Vfend) if the client was taking which medication?
A. Quinidine
B. Prednisone (Deltasone)
C. Captopril (Capoten)
D. Clindamycin (Cleocin)
A. Quinidine
The nurse has provided education to a client about fungal skin infections. Further client teaching is necessary when the client includes which condition in the discussion of fungal skin infections?
A. Thrush
B. Impetigo
C. Athlete's foot
D. Vaginal yeast infection
B. Impetigo
What are important for the nurse to monitor in a client receiving an antifungal medication? (Select all that apply.)
A. Creatinine
B. Daily weights
C. Mental status
D. Intake and output
E. Blood urea nitrogen
A, B, D, E
What conditions are considered contradictions for use of antifungal medications? (Select all that apply.)
A. Heart failure
B. Liver failure
C. Kidney failure
D. Pancreatic failure
E. Respiratory failure
B, D
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