Deck 53: Pharmacotherapy of Fungal Infections

Question 1

A client taking griseofulvin should be told the take the medication:
1)With a fatty meal, which can enhance absorption.
2)On an empty stomach.
3)With grapefruit juice.
4)With milk.

Answer 1

1

Question 2

The nurse correctly identifies that the patient with which disorder is at greater risk of acquiring a fungal infection of the nail?
1)The patient with gout
2)The patient with diabetes
3)The patient with gallbladder disease
4)The patient with arthritis

Answer 2

2

Question 3

The nurse would recognize which symptom as a sign of a serious adverse effect in the patient with amphotericin B?
1)Hypokalemia
2)Hematuria
3)Leukopenia
4)Paresthesia

Answer 3

2

Question 4

Which of the following drugs can be used to treat both superficial and systemic infections? Select all that apply.
1)Fluconazole (Diflucan)
2)Itraconazole, (Sporanox)
3)Ketoconazole (Nizoral)
4)Voriconazole (Vfend)
5)Nystatin (Mycostatin)

Question 5

The nurse is providing discharge education for the patient with tinea capitis who will be taking econazole (Spectazole).What instructions should the nurse include?
1)"Comb the medication into your hair and cover with a towel."
2)"Avoid meat and high-protein foods with this medication."
3)"Wash your head at least three times a day for two weeks."
4)"Do not share any towels with family members."

Question 6

The nurse would question the use of amphotericin B in the patient concurrently receiving which medication?
1)Captopril
2)Coumadin
3)Garamycin
4)Actos

Question 7

The nurse is comparing fungal infections with bacterial infections.Which statement made by the nurse is true?
1)"Bacteria are more similar to human cells."
2)"Fungi are more similar to human cells."
3)"Antibiotics are effective against fungi."
4)"Antifungals are only fungistatic."

Question 8

The patient prescribed a new antifungal medication asks the nurse why the medication must be taken for so many days.The nurse's response is based on the knowledge that fungal infection:
1)Is often resistant to treatment, and can require months of therapy.
2)Occurs at locations that are difficult to reach with traditional routes of medication administration.
3)Requires drug holidays to prevent side effects.
4)Are capable of destroying certain medications, so new medications must be added.

Question 9

The nurse notes that the patient's laboratory result of a culture identifies the organism aspergillosis.Based on this report, the nurse would recognize that the patient has which type of infection?
1)Opportunistic
2)Community-acquired
3)Vector-transmitted
4)Respiratory-secreted

Question 10

Which client does the nurse recognize as being at greatest risk of acquiring Candida, a fungal infection of the mouth?
1)The patient with braces
2)The patient who uses smokeless tobacco
3)The patient using a steroid inhaler for asthma
4)The patient with sleep apnea

Question 11

The nurse is providing patient education regarding ketoconazole (Nizoral).The nurse knows the patient has understood the teaching when the patient states:
1)"I could develop resistance to this medication if I take it too often."
2)"I cannot take this medication longer than ten days."
3)"I should take this medication on an empty stomach.
4)"I could develop nausea, vomiting, and abdominal pain with this medication."

Question 12

The nurse should teach the patient taking itraconazole (Sporanox)capsules that:
1)The medication should be taken on a empty stomach.
2)The medication may take two or more weeks to reach therapeutic levels.
3)Gynecomastia could occur.
4)The skin could turn yellow.

Question 13

The fungal infection classified as tinea would primarily affect the:
1)Skin and hair.
2)Bowel.
3)Mucous membranes.
4)Urinary tract.

Question 14

The drug of choice for significant systemic fungal infections in immunocompromised patients is:
1)Nystatin.
2)Amphotericin B.
3)Fluconazole.
4)Griseofulvin.

Question 15

The nursing instructor teaches the student nurses about fungal infections.The nursing instructor evaluates that learning has occurred when the student nurses make which statement(s)? Select all that apply.
1)"Systemic infections require oral medications that have serious adverse effects."
2)"Superficial infections are more difficult to treat than are systemic infections."
3)"Superficial infections are considered more benign than are systemic infections."
4)"Systemic infections are much more common than are superficial infections."
5)"Newer medications can be used for superficial as well as systemic infections."

Question 16

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.The nurse answers the patient knowing that terbinafine:
1)Works by destroying toxins excreted by the fungi in the nails.
2)Destroys circulating fungi in the blood.
3)Accumulates in nail beds and remains for several months.
4)Breaks cytoplasm in the fungal cell wall.

Question 17

The nurse would correctly identify a superficial mycosis as one affecting the: (Select all that apply.)
1)Scalp.
2)Skin.
3)Nails.
4)Mucous membranes.
5)Dermis.

Question 18

The nurse is teaching a class about fungal infections to a group of high school students.The nurse would be correct in including which statement?
1)"Fungal infections grow quickly once they enter the body system."
2)"Fungal are common in healthy athletes."
3)"There are many drugs available to treat fungal infections."
4)"Treating fungal infections can require several weeks."

Question 19

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?
1)The patient with malignant melanoma who is receiving chemotherapy
2)The patient with severe burns over 20% of the body
3)The patient with anemia who is pregnant with triplets
4)The adolescent patient with a fractured femur from an automobile accident

Question 20

The female client has a fungal infection, and will receive griseofulvin (Fulvicin).What assessment data is critical for the nurse to collect prior to administering this medication?
1)The amount of cheese products the patient eats
2)The patient's cholesterol level
3)The patient's height and weight
4)The type of birth control the patient is using

Question 21

The nurse knows the most commonly occurring dermatomycosis is:
1)Tinea pedis.
2)Tinea cruris.
3)Tinea corporis
4)Tinea capitis