Question 1

Which nursing interventions are required for the client prescribed amphotericin B (Fungizone)? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Accepted Answer

A,B,C

Question 2

Which mechanism of action do azole antifungals have?

Accepted Answer

Azole antifungals work by inhibiting the synthesis of ergosterol, a component of fungal cell membranes, which leads to cell death.

Question 3

The nursing educator reviews the subject of fungal infections with a nurse. Which statements made by the nurse indicate an understanding of the information? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Accepted Answer

B,D,E

Question 4

The nurse reviewing a client's records notes the client has been receiving nitazoxanide (Alinia). Which question should the nurse ask the client?

Accepted Answer

Nitazoxanide (Alinia) is an anti-infective medication used to treat gastrointestinal infections caused by protozoa or bacteria. It is specifically used to treat cryptosporidium and giardia. These infections are typically spread through contaminated water, so it is important for the nurse to ask if the client has access to clean water to prevent reinfection. The other options are not directly related to the use of nitazoxanide.

Question 5

Which information should the nurse include in the education for a client prescribed mebendazole (Vermox)? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Accepted Answer

Mebendazole is effective against adult parasites, remains concentrated in the intestine, usually requires only a few days of therapy, and should be taken with a high-fat meal to enhance absorption.

Question 6

Which information should the nurse include in the education for a client prescribed an oral suspension of nystatin (Nystop) for oral fungal infection?

Accepted Answer

The answer of Which information should the nurse include in...

Question 7

The nurse has provided education for a client being treated for pinworms with mebendazole (Vermox). Which statement made by the client indicates an understanding of the information?

Accepted Answer

Chewing the mebendazole tablet helps to ensure that the medication is fully absorbed and effective. Choices A, C, and D are not relevant to the treatment of pinworms with mebendazole.

Question 8

Which laboratory values should the nurse plan on monitoring for the client receiving amphotericin B (Fungizone)? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Accepted Answer

Amphotericin B is known for its nephrotoxic effects, which can lead to renal impairment. Monitoring BUN (Blood Urea Nitrogen) and serum creatinine levels is essential to assess kidney function and detect any nephrotoxicity early during the treatment.

Question 9

Which information should the nurse include in the education for a client prescribed isoniazid (INH) for tuberculosis? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Accepted Answer

The answer of Which information should the nurse include in...

Question 10

A client receiving an oral nystatin suspension for a candida infection tells the nurse that he cannot continue to "swish and swallow" because his nausea is too great. What should be the nurse's response?

Accepted Answer

The answer of A client receiving an oral nystatin suspension...

Question 11

Which is the most common type of opportunistic fungal infection?

Accepted Answer

Candida albicans is the most common type of opportunistic fungal infection. It can cause infections in the mouth, throat, genitals, and bloodstream of immunocompromised individuals. Cryptococcus neoformans and Pneumocystis jiroveci are also common opportunistic fungal infections, but they are typically more severe and can be fatal if not treated promptly. Microsporum species are not typically opportunistic pathogens and tend to cause superficial skin infections in healthy individuals.

Question 12

A client who has had malaria for many years asks the nurse why the prescriptions might not cure his or her illness when there are several drugs available. Which is the best response by the nurse?

Accepted Answer

The answer of A client who has had malaria for...

Question 13

The nurse has provided education for a client prescribed an antifungal. Which statement made by the client indicates further teaching is required?

Accepted Answer

The answer of The nurse has provided education for a...

Question 14

A client with a fungal infection of the toenails prescribed oral terbinafine (Lamisil) asks the nurse how a pill will heal the nail infection. What should be the nurse's response?

Accepted Answer

Oral terbinafine works by accumulating in the nail beds and remaining there for many months, gradually ridding the nail of the fungal infection. This is why treatment with oral antifungal medication typically takes several months to see significant improvement. A topical agent may also be used in conjunction with oral medication to increase effectiveness. The prescription does not work by destroying toxins excreted by the fungi or destroying circulating fungi in the blood.

Question 15

The nurse is preparing education for a client prescribed metronidazole (Flagyl). Which laboratory tests should the nurse anticipate to be affected by the prescription?

Accepted Answer

Metronidazole can cause elevations in liver enzymes ALT/AST, so the nurse should anticipate this being affected. The other listed laboratory tests are not typically affected by metronidazole.

Question 16

Which prescription should the nurse anticipate prescribed for a client with trichomoniasis?

Accepted Answer

Metronidazole (Flagyl) is the drug of choice for treating trichomoniasis. It is effective in eradicating the protozoan responsible for the infection. Praziquantel (Biltricide) is used to treat parasitic infections caused by liver flukes and certain types of schistosomes. Chloroquine (Aralen) is used to treat malaria caused by Plasmodium falciparum. Nitazoxanide (Alinia) is used to treat diarrhea caused by Cryptosporidium and Giardia.

Question 17

Which class of antifungals is the largest and most versatile group?

Accepted Answer

The largest and most versatile group of antifungals is the azoles. They work by inhibiting the synthesis of ergosterol, a vital component of fungal cell membranes. This class of antifungals includes drugs such as fluconazole, itraconazole, and voriconazole.

Question 18

Which data should the nurse review prior to administering nystatin to a female client?

Accepted Answer

Nystatin is a pregnancy category C drug, which means it should be used during pregnancy only if the potential benefits justify the potential risk to the fetus. Therefore, it is important to review whether the female client is pregnant before administering nystatin.

Question 19

Which prophylactic treatment should the nurse anticipate to be prescribed for a client prior traveling to Africa?

Accepted Answer

Antimalarial drugs are commonly prescribed as prophylactic treatment for clients traveling to Africa to prevent malaria. Antibiotics and protease inhibitors would not necessarily be effective in preventing malaria. Immunizations may also be necessary, but antimalarial drugs are the primary prophylactic treatment.

Question 20

Which client is at the greatest risk for acquiring a fungal infection?

Accepted Answer

The client with malignant melanoma receiving chemotherapy is at the greatest risk for a fungal infection because chemotherapy can significantly weaken the immune system, making the body more susceptible to infections, including fungal ones.

Quiz 36: Drugs for Tubercular, Fungal, Protozoan, and Helminthic Infections

Which nursing interventions are required for the client prescribed amphotericin B (Fungizone) ? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.