Question 1

The female client has a fungal infection and will receive nystatin (Mycostatin). What assessment data is critical for the nurse to review prior to administering this medication?

Accepted Answer

Nystatin is an antifungal medication, and it is important to assess whether the patient could be pregnant because certain medications can have effects on pregnancy or the fetus.

Question 2

The client receives oral nystatin (Mycostatin) suspension for an oral candidiasis infection. She tells the nurse she cannot continue to "swish and swallow" because her nausea is too great. What is the best response by the nurse?

Accepted Answer

Swishing and spitting the medication can still help treat the oral candidiasis locally, even if the patient cannot swallow it due to nausea.

Question 3

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

Accepted Answer

Clients receiving chemotherapy are at a higher risk for fungal infections due to their compromised immune systems, which makes it difficult for their bodies to fight off infections.

Question 4

The nurse plans to provide health promotion to a group of business travelers who are going to travel to Africa. What will the best teaching plan by the nurse include?

Accepted Answer

Travelers to areas where malaria is common should take antimalarial drugs prophylactically to prevent infection.

Question 5

Treatment for malaria involves

Accepted Answer

Multidrug therapy is used to treat malaria to ensure effectiveness and prevent resistance, as the malaria parasite can quickly develop resistance to single-drug treatments.

Question 6

The client receives terbinafine (Lamisil) as treatment for a fungal infection of the toenails. What is an important assessment question for the nurse to ask?

Accepted Answer

The answer of The client receives terbinafine (Lamisil) as treatment...

Question 7

The client is noncompliant with taking medications to prevent malaria prior to an overseas business trip. The nurse identifies which rationale for this action is most likely?

Accepted Answer

The side effects of vomiting and diarrhea are common reasons for noncompliance with medication regimens, as they can significantly impact a person's comfort and daily functioning.

Question 8

The nurse is preparing to administer a topical, oral antifungal medication to an adult client. The nurse will administer the medication

Accepted Answer

Topical oral antifungal medications are typically administered alone, allowing the client to swish and swallow to ensure the medication coats the oral cavity effectively.

Question 9

The client receives nystatin (Nilstat) for a fungal infection in the mouth. The nurse plans to do medication education prior to discharge. What will the best plan by the nurse include?

Accepted Answer

Nystatin is often given as an oral suspension for fungal infections in the mouth, and it should be dissolved in the mouth to allow it to act directly on the affected area.

Question 10

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

Accepted Answer

A client who is immunosuppressed is at the greatest risk of acquiring a serious fungal infection due to their weakened immune system, which is less capable of fighting off infections.

Question 11

The client has a fungal infection of the toenails and receives oral terbinafine (Lamisil). The client asks the nurse how a pill will heal his nail infection. What is the best response by the nurse?

Accepted Answer

Terbinafine accumulates in the nail beds, where it remains for an extended period, effectively treating the fungal infection.

Question 12

The nurse does medication education for the client with histoplasmosis who receives ketoconazole (Nizoral). The nurse evaluates that learning has occurred when the client makes which statement?

Accepted Answer

Ketoconazole can cause gastrointestinal side effects such as nausea, vomiting, and abdominal pain.

Question 13

The mechanism of action of azole systemic antifungal agents is to

Accepted Answer

Azole antifungal agents work by inhibiting the enzyme lanosterol 14-alpha-demethylase, which is crucial for the synthesis of ergosterol, an essential component of the fungal cell membrane.

Question 14

A patient with a severe systemic fungal infection will be treated with amphotericin B (Fungizone). What nursing interventions are required?

Accepted Answer

The answer of A patient with a severe systemic fungal...

Question 15

The client has had malaria for many years. He asks the nurse why medications might not cure his illness when there are several drugs available. What is the best response by the nurse?

Accepted Answer

The answer of The client has had malaria for many...

Question 16

The client receives amphotericin B (Fungizone) for histoplasmosis. What does the best assessment by the nurse include?

Accepted Answer

The answer of The client receives amphotericin B (Fungizone) for...

Question 17

A patient has been diagnosed with trichomoniasis. The nurse would give which medication without questioning the prescription

Accepted Answer

Metronidazole (Flagyl) is the standard treatment for trichomoniasis, an infection caused by the protozoan parasite Trichomonas vaginalis.

Question 18

The client is being treated for pinworms with mebendazole (Vermox). The nurse has completed medication education and evaluates that learning has occurred when the client makes which statement?

Accepted Answer

Mebendazole (Vermox) is often administered in a chewable tablet form, so the correct statement indicating understanding of the medication education is that the client should chew the tablet.

Question 19

The nursing instructor teaches the student nurses about fungal infections. The nursing instructor evaluates that learning has occurred when the student nurses make which statements?

Accepted Answer

The answer of The nursing instructor teaches the student nurses...

Question 20

Superficial fungal infections differ from systemic fungal infections in that superficial fungal infections

Accepted Answer

Superficial fungal infections primarily affect the hair, skin, and nails, whereas systemic fungal infections affect internal organs and can be more severe.

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

The female client has a fungal infection and will receive nystatin (Mycostatin) . What assessment data is critical for the nurse to review prior to administering this medication?