Question 1

A client has a serious systemic fungal infection. The nurse anticipates that the physician will prescribe which medications to treat this infection? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

Amphotericin B, flucytosine, and caspofungin are considered effective choices for serious systemic fungal infections. Griseofulvin and terbinafine are more commonly used for superficial fungal infections.

Question 2

The nurse would question the use of amphotericin B in the client concurrently receiving which medication?

Accepted Answer

Amphotericin B and vancomycin both have nephrotoxic potential, so using them together increases the risk of kidney damage.

Question 3

MCMA Nursing students are preparing to go to a field school in Africa, an area high in malaria cases. Students will be asked to present a class on the prevention of malaria to community residents. What will the students include in their presentation?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

The answer of MCMA Nursing students are preparing to go...

Question 4

The nurse works in infection control at a large hospital. Which client does the nurse recognize as being at greatest risk of acquiring a fungal infection?

Accepted Answer

The answer of The nurse works in infection control at...

Question 5

The nurse is reviewing a client's medical record and notes that recent culture results identify the organism aspergillosis. Based on this report, which type of infection would the nurse expect this client has?

Accepted Answer

Aspergillosis is an opportunistic infection that typically affects immunocompromised clients. It is caused by the fungus Aspergillus and can lead to severe respiratory problems. The other options are not applicable to this type of infection.

Question 6

Why is there a rising need for effective treatment for fungal infections over recent years? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

The increased incidence of HIV/AIDS has led to a higher occurrence of opportunistic fungal infections. Advances in chemotherapeutic drugs have weakened the immune systems of cancer patients, making them more susceptible to fungal infections. Increased use of indwelling IV catheters puts patients at risk for invasive fungal infections. The overuse of broad-spectrum antibiotics can disrupt the balance of microorganisms in the body, leading to fungal overgrowth. Therefore, all of these factors have contributed to the rising need for effective treatment for fungal infections over recent years. The overuse of antiviral medications is not directly related to fungal infections.

Question 7

The nurse caring for a hospitalized client monitors for which opportunistic fungal infections? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

These are all opportunistic fungal infections that can affect immunocompromised individuals, such as hospitalized clients with compromised immune systems. Sporotrichosis is not commonly associated with immunocompromised clients and is often associated with soil or vegetation injury.

Question 8

Which the following clients in a medical-surgical are at increased risk for acquiring systemic fungal infections and may require prophylactic pharmacological therapy? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

Clients who have compromised immune systems are at an increased risk of acquiring systemic fungal infections. Therefore, clients with lupus who are being treated with steroids, clients who have AIDS, clients who are being treated with chemotherapy for cancer, and clients who have undergone organ transplantation are all at an increased risk and may require prophylactic pharmacological therapy. The client recovering from an appendectomy does not have a compromised immune system and is, therefore, not at an increased risk for systemic fungal infections.

Question 9

A client is being treated with amphotericin B for a serious systemic fungal infection. The nurse instructs the client to immediately report which adverse effects associated with this medication? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

The answer of A client is being treated with amphotericin...

Question 10

The nurse is caring for a client with a tinea fungal infection. The nurse expects the client will have symptoms that primarily affect the:

Accepted Answer

Tinea fungal infections, also known as ringworm, primarily affect the skin and hair. Symptoms may include red, itchy, and scaly patches on the skin, along with hair loss in affected areas. Bowel, mucous membrane, and urinary tract symptoms are not typically associated with tinea fungal infections.

Question 11

The nurse is caring for a client who has both a superficial and a systemic fungal infection. Which drugs can be used to treat both infections? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

Ketoconazole, voriconazole, itraconazole, and fluconazole are all azole antifungals that can be used to treat both superficial and systemic fungal infections.

Question 12

The client has a fungal infection of the toenails, and receives oral terbinafine (Lamisil). The client asks the nurse how a pill will heal a nail infection. The nurse explains that terbinafine:

Accepted Answer

Terbinafine accumulates in the nail beds, where it remains for several months, effectively treating the fungal infection by targeting the site of infection directly.

Question 13

The nurse would recognize which symptom as a sign of a serious adverse effect in a client taking amphotericin B?

Accepted Answer

The answer of The nurse would recognize which symptom as...

Question 14

Which of the following would the nurse identify as a superficial mycosis? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

The answer of Which of the following would the nurse...

Question 15

The nurse is providing education regarding oral nystatin (Nyaderm)). Which statement. by the client indicates that the client has understood the teaching?

Accepted Answer

Nausea, vomiting, and diarrhea are common side effects of oral nystatin.

Question 16

A client is due to receive fluconazole (Diflucan) for a fungal infection. Which are the routes of administration for this drug? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

Fluconazole can be administered orally (by mouth) or intravenously (by injection into a vein). It is not given by subcutaneous or intramuscular injection, or topically.

Question 17

A client with AIDS is suffering from a systemic fungal infection. The nurse anticipates that the drug of choice for this client will be:

Accepted Answer

Amphotericin B is the drug of choice for systemic fungal infections, particularly in immunocompromised clients like those with AIDS. Fluconazole may be used for less severe infections, and Nystatin and Griseofulvin are more commonly used for localized, skin infections.

Question 18

A female client has a fungal infection and will receive griseofulvin. What assessment data is critical for the nurse to collect prior to administering this medication?

Accepted Answer

Griseofulvin can decrease the effectiveness of hormonal contraceptives, so it is important to assess what type of birth control the client is using to ensure appropriate contraception is being utilized. Height and weight, cholesterol levels, and cheese consumption are not directly related to the administration of griseofulvin.

Question 19

MCSA Nursing students are completing a peer presentation on drugs used to treat fungal infections. What mechanism of action do the students identify for anti-fungals?

Accepted Answer

Anti-fungals typically inhibit ergosterol synthesis, a key component of fungal cell membranes. This disrupts the integrity of the fungal cell wall and ultimately leads to cell death. A, C, and D are not typical mechanisms of action for anti-fungal drugs.

Question 20

The nurse is providing instruction to a client with a fungal infection who will be discharged home soon. Which statement by the client indicates understanding of the teaching? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.

Accepted Answer

The answer of The nurse is providing instruction to a...

Quiz 10: Pharmacology of Infectious Diseases

A client has a serious systemic fungal infection. The nurse anticipates that the physician will prescribe which medications to treat this infection? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

The nurse would question the use of amphotericin B in the client concurrently receiving which medication?

The nurse works in infection control at a large hospital. Which client does the nurse recognize as being at greatest risk of acquiring a fungal infection?

The nurse is reviewing a client's medical record and notes that recent culture results identify the organism aspergillosis. Based on this report, which type of infection would the nurse expect this client has?

Why is there a rising need for effective treatment for fungal infections over recent years? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

The nurse caring for a hospitalized client monitors for which opportunistic fungal infections? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

Which the following clients in a medical-surgical are at increased risk for acquiring systemic fungal infections and may require prophylactic pharmacological therapy? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

The nurse is caring for a client with a tinea fungal infection. The nurse expects the client will have symptoms that primarily affect the:

The nurse is caring for a client who has both a superficial and a systemic fungal infection. Which drugs can be used to treat both infections? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

The client has a fungal infection of the toenails, and receives oral terbinafine (Lamisil) . The client asks the nurse how a pill will heal a nail infection. The nurse explains that terbinafine:

The nurse would recognize which symptom as a sign of a serious adverse effect in a client taking amphotericin B?

Which of the following would the nurse identify as a superficial mycosis? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

The nurse is providing education regarding oral nystatin (Nyaderm) ) . Which statement. by the client indicates that the client has understood the teaching?

A client is due to receive fluconazole (Diflucan) for a fungal infection. Which are the routes of administration for this drug? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

A client with AIDS is suffering from a systemic fungal infection. The nurse anticipates that the drug of choice for this client will be:

A female client has a fungal infection and will receive griseofulvin. What assessment data is critical for the nurse to collect prior to administering this medication?

MCSA Nursing students are completing a peer presentation on drugs used to treat fungal infections. What mechanism of action do the students identify for anti-fungals?