Deck 10: Pharmacology of Infectious Diseases

Question 1

A female client is prescribed tetracycline for acne. What information about this drug does the nurse share with the client?
1) Is contraindicated in people over 20 years old.
2) Is classified as a narrow-spectrum antibiotic.
3) Has been identified to be unsafe during pregnancy.
4) Is used to treat a wide variety of disease processes.

Answer 1

3

Question 2

The ability of an antibiotic to target pathogens without major effects on human cells is termed:
1) Selective toxicity.
2) Selective synthesis.
3) Bacteriostatic action.
4) Opportunistic action.

Answer 2

1

Question 3

What is the term used to describe a bacterial genetic error, which may be a contributing factor to the development of drug resistance?
1) Plasmids.
1) Plasmids.
2) Mutations.
3) Conjugates.
4) Duplications.

Answer 3

2

Question 4

What is the ability of an organism to become unresponsive over time to an anti-infective referred to?
1) Superinfection.
2) Sensitivity.
3) Mutation.
4) Acquired resistance.

Question 5

The nurses in the Infection Control department at a large teaching hospital are presenting strategies to prevent antimicrobial resistance. Which guidelines do they 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.
1) Using proper infection-control procedures.
2) Shortening the duration of antibiotic administration.
3) Using antimicrobials wisely.
4) Preventing infections.
5) Treating infections properly.

Question 6

Which body system is the most difficult to reach with antibiotic therapy?
1) Gastrointestinal system
2) Integumentary system
3) Central nervous system
4) Pulmonary

Question 7

What is the purpose of sending a wound culture to the laboratory for culture and sensitivity?
1) Prevent an infection, a practice called chemoprophylaxis.
2) Identify bacteria that have acquired resistance.
3) Promote the development of drug-resistant bacterial strains by killing the bacteria sensitive to a drug.
4) Determine which antibiotic is most effective against the infecting microorganism.

Question 8

Students have completed their first class on anit-infectives. Their nursing instructor asks them to identify a leading factor in the development of bacterial resistance. What is an accurate response by the students?
1) Replication.
2) Conjugation.
3) Mutation.
4) Colonization.

Question 9

An advantage of using a broad-spectrum antibiotic is that:
1) It is effective against a large number of organisms.
2) It is effective with fewer doses.
3) It has a high potency.
4) It produces few side effects.

Question 10

The nurse is preparing to administer a broad-spectrum antibiotic medication to a client. What is an important nursing intervention prior to administration of the anti-infective is:
1) Performing a culture within 24 hours after starting the medication.
2) Obtaining the culture report, as when starting any medication.
3) Performing a culture prior to administering the first dose of the anti-infective.
4) Administering the medicine without performing cultures.

Question 11

What ability does an organism's pathogenicity refer to?
1) Cause disease.
2) Penetrate anatomic barriers more easily.
3) Multiply more rapidly.
4) Use oxygen.

Question 12

The client's culture report indicates the presence of gram-negative cocci in the urine. what is the correct description of these cells?
1) Round with thin cell walls.
2) Round with thick cell walls.
3) Rod-shaped with thin cell walls.
4) Spiral-shaped with thin cell walls.

Question 13

What is the primary factor in the development of drug-resistant bacteria?
1) Unwarranted use of antibiotics.
2) Selection of the incorrect antibiotic.
3) Lack of new antibiotics.
4) Lack of client adherence.

Question 14

The client with a UTI asks the nurse why the health care provider did not prescribe the same antibiotic that he had for wound infection. What is the best response by the nurse?
1) "This is the antibiotic that this physician usually orders."
2) "You don't want to take the same antibiotic all the time."
3) "Try this medicine, and if you're not better in 10 days, return to the office."
4) "Your UTI is growing different bacteria than was responsible for your wound infection"

Question 15

A client is seen at the clinic for a UTI. When reviewing her prescription with her, the client states that she is 4 weeks pregnant. Which of the following antibiotics would be contraindicated due to its effect on newborns hearing?
1) Mycins
2) Aminoglycosides
3) Sulfonamides
4) Tetracyclines

Question 16

What ability does a pathogen's invasiveness refers to?
1) Produce endotoxins in greater abundance.
2) Multiply more rapidly.
3) Increase its virulence.
4) Penetrate anatomic barriers more easily.

Question 17

What does hyaluronidase, an enzyme secreted by certain bacteria, allow bacteria to do?
1) Protect themselves from phagocytes.
2) Penetrate anatomic barriers more easily.
3) Multiply more rapidly.
4) Produce exotoxins in greater abundance.

Question 18

How are anti-infectives grouped into pharmacological classes?
1) Staining ability.
2) Size or shape.
3) Sensitivity.
4) Mechanism of action.

Question 19

Which type of antibiotic carries the highest risk of an allergic response?
1) Tetracyclines
2) Aminoglycosides
3) Cephalosporins
4) Penicillins

Question 20

A new antibiotic is classified as a bacteriocidal agent. What does this term mean?
1) Slows the growth of the infectious agent.
2) Has a high potency.
3) Is highly efficacious.
4) Kills the infectious agent.

Question 21

Classes of antibiotics that exert their antibacterial effect by interfering with the synthesis of the bacterial cell wall include:
1) Cephalosporins.
2) Aminoglycosides.
3) Sulfonamides.
4) Erythromycins.

Question 22

The nurse anticipates use of an extended-spectrum penicillins such as piperacillin when the client is infected with which microbe?
1) Streptococcus
2) Herpes simplex
3) Pseudomonas
4) Staphylococcus

Question 23

Penicillin's antibacterial activity is based on its:
1) Beta-lactam ring, which terminates construction of the cell wall.
2) Alteration of bacterial DNA in the cell wall.
3) Interference with cellular cytoplasm.
4) Interruption of bacterial protein synthesis.

Question 24

A paediatric nurse is caring for a child who has an infectious organism that produces beta lactamase. The nurse knows that which drugs should not be prescribed for this infection? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1) Penicillins
2) Cephalosporins
3) Macrolides
4) Fluoroquinolones
5) Sulfonamides

Question 25

Which client would require the administration of prophylactic antibiotics?
1) A client with inflammation at the infection site
2) A client with a viral infection
3) A client with a suppressed immune system
4) A client with pus at the infection site

Question 26

The health care provider asks the nurse to tell a client that tests confirm the client has a health care-associated infection (HAI). The nurse explains to the client that common sources of HAIs include: Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1) The respiratory tract.
2) The urinary tract.
3) Intravascular (IV) lines.
4) Visitors with infectious illness.
5) Drug-resistant bacteria.

Question 27

The nurse is preparing to admit a client with a serious methicillin-resistant Staphylococcus aureus (MRSA) infection. Which of the following does the nurse realize will not be effective in treating this infection? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1) Fluoroquinolones.
2) Macrolides.
3) Aminoglycosides.
4) Tetracyclines.
5) Linezolid.

Question 28

Bacterial enzymes participate in the construction of the bacterial cell wall. In targeting these enzymes, what does Penicillin interfere with?
1) Bacterial DNA.
2) The addition of cross-links to the cell wall.
3) Protein synthesis.
4) The channels in the cell's internal structure.

Question 29

A client is unable to give a urine sample for a culture and sensitivity (C&S) and asks the nurse why the health care provider does not just prescribe a "really strong" antibiotic. What does the nurse teach the client about outcomes associated with ordering the wrong antibiotic? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1) It will delay effective treatment.
2) It will give the bacteria more time to grow.
3) It can contribute to the development of drug-resistant bacteria.
4) It could result in superinfections.
5) It could result in an allergic response.

Question 30

The nurse is caring for a group of clients. Which of the following does the nurse identify as having a superinfection?
1) 47-year-old client with type 2 diabetes and pneumonia
2) 50-year-old AIDS client with candida
3) 46-year-old client with vascular disease and cellulitis of the leg
4) 52-year-old client with gastroesophageal reflux disease (GERD) and gastritis

Question 31

The community outreach nurse is teaching a group of older clients how bacterial organisms become resistant to antibiotics. Which statements by the clients demonstrate understanding of the instruction? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1) "I need to get the recommended immunizations so I don't get an infection and need an antibiotic."
2) "If possible, my doctor will need to culture any infections I have to make sure I am taking the correct antibiotics."
3) "I need to take antibiotics only when my health care provider thinks I have an infection."
4) "As soon as my infection is gone, I can stop the antibiotic. This way, I'll avoid becoming resistant to the antibiotic."
5) "I should never take an antibiotic for more than 10 days. This is what causes resistance."

Question 32

A client has been on an antibiotic for 2 weeks for treatment of an ulcer caused by Helicobacter pylori. The client asks the nurse if the antibiotic could be causing diarrhea. What is the nurse's most accurate response?
1) "The infection has become severe."
2) "This might be a secondary infection due to the antibiotic therapy."
3) "The infection has a restricted group of microorganisms."
4) "The organisms that caused the infection have developed immunity to the drug."

Question 33

The nurse would explain that Clavulin is a combination drug containing the antibiotic amoxicillin and clavulanate. What properties does this drug have?
1) Secondary antibiotic.
2) Penicillinase inhibitor.
3) Anti-inflammatory.
4) Antiviral.

Question 34

The client asks the nurse why culture and sensitivity (C&S) testing has to be done prior to starting the antibiotic for a urinary tract infection (UTI). The nurse explains that several organisms can cause UTIs and a C&S is performed to identify the organism. Which organism could be isolated on this client's C&S? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1) Escherichia coli
2) Klebsiella
3) Proteus mirabilis
4) Haemophilus
5) Borrelia burgdorferi

Question 35

Which of the following clients seen in the emergency does the nurse anticipate prophylactic antibiotic treatment? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1) A client with a suppressed immune system.
2) A client who has been bitten by a dog.
3) A client whose spouse has been diagnosed with tuberculosis (TB).
4) A client who is being treated for a venereal disease.
5) A client who has just delivered a premature baby.

Question 36

What type of organisms are cephazolins primarily effective against?
1) Protozoans.
2) Gram-negative bacteria.
3) Rickettsia.
4) Gram-positive bacteria.

Question 37

A pregnant client is seen in the emergency department for an infection. Which of the following antibiotics would the nurse anticipate not be ordered for this client? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1) Ampicillin.
2) Minocycline.
3) Neomycin.
4) Streptomycin.
5) Doxycycline.

Question 38

A client is admitted to the emergency department with an infection of the skin on the upper right thigh. Which organism is most likely responsible for this infection? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1) Streptococci
2) Proteus mirabilis
3) Pseudomonas aeruginosa
4) Salmonella enteritidis
5) Rickettsia rickettsii

Question 39

A client is admitted to the emergency department for an infection. Which host factors play a role in the selection of anti-infective therapy? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1) status of immune system.
2) location of the infection.
3) history of allergic reactions.
4) previous infections.
5) results of culture and sensitivity (C&S).

Question 40

A client on penicillin complains of an abnormal vaginal discharge. What is her superinfection related to?
1) A nosocomial infection.
2) An overdose of penicillin.
3) The destruction by penicillin of normal flora in the vagina.
4) The development of an organism resistant to penicillin.

Question 41

A client has been prescribed a new antifungal medication and asks the nurse why the medication must be taken for so many days. What does the nurse explain to the client about the use of antifungal drugs?
1) Require drug holidays to prevent side effects.
2) Are often resistant to treatment, and can require months of therapy.
3) Occur at locations that are difficult to reach with traditional routes of medication administration.
4) Are capable of destroying certain medications, so new medications must be added.

Question 42

Student nurses are working at an outpatient clinic, where clients are often ordered antibiotics. Their instructor asks them to identify clients who would not be candidates for the drug tetracycline. Which of the following do the students choose? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1) A 60 year old with Lyme disease.
2) A 45 year old with a chlamydia infection.
3) A 6 year old with a pulmonary infection.
4) A 28 year old in her 2nd trimester of pregnancy.
5) A 42 year old with H-pylori.

Question 43

The mother of a 2-year-old calls the nurse to report her child has been having diarrhea since he began taking an antibiotic 48 hours ago. The mother asks if she should give her child an over-the-counter medication for the diarrhea. What is the nurse's best response?
1) "Wait one more day and see if the diarrhea clears."
2) "Yes, give something over the counter, but only one dose."
3) "Yes, give something over the counter according to the dosage directions on the label."
4) "Do not treat the diarrhea, and bring the child to the office."

Question 44

Which generation of cephalosporin would be selected to treat complicated, drug-resistant meningitis?
1) Second
2) Third
3) Fourth
4) First

Question 45

The nurse has received an order to give Gentamycin intravenously (IV) to a client who is on Penicillin G Potassium as well. Both medications are due at 1200. The client has a dual port venous access device (VAD). What actions would the nurse take to ensure efficacy of both medications?
1) Give each medication at 1200, one in each port of the VAD.
2) Give one medication at 1130, flush with 10 ml of saline, give the other at 1200.
3) Give the antibiotics at least one hour apart.
4) Infuse both the antibiotics at the 1200 in one line of the VAD.
5) A wound culture is positive for methicillin-resistant Staphylococcus aureus (MRSA).

Question 46

The nurse caring for a client with an allergy to cephalosporins. Which class of anti-infectives would the nurse be cautious in administering?
1) Aminoglycosides
2) Fluoroquinolones
3) Sulfonamides
4) Penicillins

Question 47

The nurse is administering an infusion of vancomycin. Which of the following signs and symptoms would confirm diagnosis of red man syndrome? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1) Reddening of the upper body
2) Hypotension
3) Reflex tachycardia
4) Headache
5) Seizure

Question 48

A client is being discharged with a prescription for penicillin. What does the nurse include in her discharge teaching about this drug?
1) Do not take any dairy products while on penicillin
2) May take with water or juice
3) Report decreased during output to health care provider
4) May discontinue after 4-5 days if symptoms dissipate.

Question 49

Which client should be most closely monitored for adverse effects directly related to receiving penicillin G?
1) A client who has osteomyelitis and will need IV medication for several months
2) A client who had a myocardial infarction 2 days ago and now has a fever of 102°F
3) A client who is postop from corneal transplant
4) A client who has diabetes and is on dialysis

Question 50

Nursing students have completed a class on pharmacology for bacterial infections. At the end of the class, the nursing instructor asks the students to identify how antibiotic treatment for tuberculosis is different from other bacterial infections. What response by the students indicate further teaching is required? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1) Therapy may continue for up to 24 months
2) Therapy is necessary for approximately 2-6 months
3) Multiple drugs may be used in different combinations
4) Antituberculosis drugs can be used to prevent the disease
5) Isoniazid and Ciprofloxacin are first line drugs used to treat tuberculosis.

Question 51

MCSA A client on penicillin therapy presents with signs of pseudomembranous colitis. What does the nurse recognize this as?
1) A nosocomial infection
2) A mutation
3) A superinfection
4) A microbial antagonist

Question 52

The nurse preparing to infuse gentamicin to a client who has been on this drug for 4 days. Which of the following signs and symptoms would prompt the nurse to hold the drug and notify the physician?
1) Elevated PT- INR.
2) Reddening upper body.
3) Loss of hearing.
4) Metallic taste in mouth

Question 53

Which interventions would the nurse consider including in a plan of care for clients taking cephalosporins? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1) Monitor kidney function in older adults.
2) Monitor for persistent diarrhea in young children.
3) Discuss the concurrent use of alcohol.
4) Teach clients to report any fever that does not decrease within 12 hours of starting therapy.
5) Instruct clients to immediately go to the emergency department if any symptoms of red man syndrome occur during treatment.

Question 54

Prior to discharge of a client on cephalosporin therapy, what does the nurse inform the client are potentially significant adverse effects? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1) Nausea.
2) Vomiting.
3) Abdominal pain.
4) Transient shortness of breath
5) Vaginal yeast infection.

Question 55

Which instruction should take priority in client teaching for any antibiotic therapy?
1) The full course of prescribed drug therapy must be completed.
2) Maintain adequate food intake
3) Maintain an adequate fluid intake
4) Report symptoms of secondary infection, such as vaginal yeast infections

Question 56

The nurse is caring for a client with a fungal infection. Which statement by the client would indicate understanding of this type of infection?
1) "There are many drugs available to treat fungal infections."
2) "Fungal infections grow quickly once they enter the body system."
3) "Treating fungal infections can require several weeks."
4) "Fungal infections are common in healthy athletes."

Question 57

MCSA Student nurses are working at a TB clinic. The students ask the community health nurse which clients would be considered for chemoprophylaxis. What is the best response of the nurse?
1) Clients with COPD
2) Clients with tuberculosis
3) Clients with pulmonary fibrosis
4) Clients newly diagnosed with AIDS

Question 58

Which clients taking Erythromcin should the nurse plan to monitor closely?
1) A client with atrial fibrillation taking warfarin
2) A client with seizure disorders
3) A client with otitis media
4) A client taking oral contraceptives

Question 59

A client in the emergency department experienced a severe allergic response to penicillin. The client tells the nurse this is the first time she has ever taken this particular drug. Which questions can the nurse ask to determine the reason for the allergic response? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1) "Have you ever been exposed to mold?"
2) "Do you eat animal products that have been exposed to antibiotics?"
3) "Have you ever had another allergic reaction to a group of antibiotics called cephalosporins?"
4) "Do you have any seasonal allergies?"
5) "Do you have any diseases or are you taking any medications that suppress the immune system?"

Question 60

The nurse is administering the first dose of ampicillin intramuscularly to a client with a severe infection. In addition to the six rights of medication administration, what is the priority nursing action?
1) Monitor bowel sounds.
2) Teach the client about the side effects of the drug.
3) Encourage the client to increase fluid intake.
4) Monitor the client closely for hypersensitivity with the first dose.

Question 61

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.
1) Amphotericin B (Fungizone)
2) Flucytosine (Ancotil)
3) Caspofungin (Cancidas)
4) Griseofulvin
5) Terbinafine (Lamisil)

Question 62

The nurse would question the use of amphotericin B in the client concurrently receiving which medication?
1) Actos
2) Vancomycin
3) Captopril
4) Warfarin

Question 63

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.
1) Avoid eating bananas which may attract mosquitos
2) Stay indoors from dusk to dawn
3) Wear long sleeve shirts and pants
4) Use DDT based spray in areas where mosquitos lay eggs
5) Use malaria nets when sleeping

Question 64

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

Question 65

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?
1) Community-acquired
2) Opportunistic
3) Transmitted by direct contact
4) Vector-transmitted

Question 66

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.
1) The increased incidence of HIV/AIDS.
2) Advances in chemotherapeutic drugs.
3) Increased use of indwelling IV catheters.
4) The overuse of broad-spectrum antibiotics.
5) The overuse of antiviral medications.

Question 67

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.
1) Candidiasis
2) Aspergillosis
3) Sporotrichosis
4) Cryptococcosis
5) Mucormycosis

Question 68

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.
1) The client with lupus being treated with steroids
2) The client who has AIDS
3) The client who is being treated with chemotherapy for breast cancer
4) The client who is status post a heart transplant
5) The client recovering from an appendectomy

Question 69

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.
1) Loss of hearing
2) Visual disturbances
3) Dizziness
4) Ringing in the ears
5) Nausea and vomiting

Question 70

The nurse is caring for a client with a tinea fungal infection. The nurse expects the client will have symptoms that primarily affect the:
1) Bowel.
2) Mucous membranes of the mouth.
3) Urinary tract.
4) Skin and hair.

Question 71

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.
1) Ketoconazole (Nizoral)
2) Voriconazole (Vfend)
3) Itraconazole (Sporanox)
4) Fluconazole (Diflucan)
5) Nystatin (Nyaderm)

Question 72

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

Question 73

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

Question 74

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.
1) Skin.
2) Mucous membranes.
3) Pulmonary system.
4) Nails.
5) Scalp.

Question 75

The nurse is providing education regarding oral nystatin (Nyaderm)). Which statement. by the client indicates that the client has understood the teaching?
1) "I could develop nausea, vomiting, and diarrhea with this medication."
2) "I cannot take this medication longer than 10 days."
3) "I should take this medication once a day."
4) "I could develop resistance to this medication if I take it too often."

Question 76

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.
1) By mouth
2) By intramuscular injection
3) By intravenous injection
4) By subcutaneous injection
5) Topically

Question 77

A client with AIDS is suffering from a systemic fungal infection. The nurse anticipates that the drug of choice for this client will be:
1) Fluconazole.
2) Amphotericin B.
3) Nystatin.
4) Griseofulvin.

Question 78

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?
1) The type of birth control the client is using
2) The client's height and weight
3) The client's cholesterol level
4) The amount of cheese products the client eats

Question 79

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?
1) Inhibits cyst formation necessary for the fungi to survive
2) Inhibits ergosterol synthesis,
3) Disrupts RNA and DNA synthesis
4) Inhibits enzymes necessary for reproduction

Question 80

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.
1) "Systemic infections require oral medications that have serious adverse effects."
2) "Superficial infections are considered more benign than are systemic infections."
3) "Newer medications can be used for superficial as well as systemic infections."
4) "Systemic infections are much more common than are superficial infections."
5) "Superficial infections are more difficult to treat than are systemic infections."