Deck 52: Pharmacotherapy of Fungal Infections

Question 1

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

A)Community-acquired
B)Opportunistic
C)Transmitted by direct contact
D)Vector-transmitted

Answer 1

Opportunistic

Question 2

The nurse is caring for a client with a fungal infection.Which statement by the client would indicate understanding of this type of infection?

A)"There are many drugs available to treat fungal infections."
B)"Fungal infections grow quickly once they enter the body system."
C)"Treating fungal infections can require several weeks."
D)"Fungal infections are common in healthy athletes."

Answer 2

"Treating fungal infections can require several weeks."

Question 3

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?

A)The type of birth control the patient is using
B)The client's height and weight
C)The client's cholesterol level
D)The amount of cheese products the client eats

Answer 3

The type of birth control the patient is using

Question 4

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.

A)Ketoconazole (Nizoral)
B)Voriconazole (Vfend)
C)Itraconazole (Sporanox)
D)Fluconazole (Diflucan)
E)Nystatin (Mycostatin)

Question 5

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.

A)Amphotericin B (Fungizone)
B)Flucytosine (Ancobon)
C)Caspofungin (Cancidas)
D)Griseofulvin (Fulvicin)
E)Terbinafine (Lamisil)

Question 6

The nurse recognizes that which clients in a medical-surgical unit 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.

A)The client with lupus being treated with steroids
B)The client who has AIDS
C)The client who is being treated with chemotherapy for breast cancer
D)The client who is status post a heart transplant
E)The client recovering from an appendectomy

Question 7

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?

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

Question 8

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.

A)Candidiasis
B)Aspergillosis
C)Sporotrichosis
D)Cryptococcosis
E)Mucormycosis

Question 9

The nurse is providing education regarding ketoconazole (Nizoral).The nurse knows the client has understood the teaching when the client states:

A)"I could develop nausea,vomiting,and abdominal pain with this medication."
B)"I cannot take this medication longer than 10 days."
C)"I should take this medication on an empty stomach."
D)"I could develop resistance to this medication if I take it too often."

Question 10

The nurse would correctly identify a superficial mycosis as one affecting the: Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

A)skin.
B)mucous membranes.
C)dermis.
D)nails.
E)scalp.

Question 11

The nurse correctly identifies that the client with which disorder is at greatest risk of acquiring a fungal infection of the nail?

A)The client with arthritis
B)The client with diabetes
C)The client with gallbladder disease
D)The client with gout

Question 12

The nurse is comparing fungal infections with bacterial infections.Which statement by the nurse is true?

A)"Antifungals are only fungistatic."
B)"Antibiotics are effective against fungi."
C)"Fungi are more similar to human cells."
D)"Bacteria are more similar to human cells."

Question 13

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.

A)Loss of hearing
B)Visual disturbances
C)Dizziness
D)Ringing in the ears
E)Nausea and vomiting

Question 14

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)fluconazole.
B)amphotericin B.
C)nystatin.
D)griseofulvin.

Question 15

The nurse is providing instruction to a client with a fungal infection who will be discharged home soon.The nurse evaluates that learning has occurred when the client makes which statement(s)? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

A)"Systemic infections require oral medications that have serious adverse effects."
B)"Superficial infections are considered more benign than are systemic infections."
C)"Newer medications can be used for superficial as well as systemic infections."
D)"Systemic infections are much more common than are superficial infections."
E)"Superficial infections are more difficult to treat than are systemic infections."

Question 16

A client has been prescribed a new antifungal medication and asks the nurse why the medication must be taken for so many days.The nurse's response is based on the knowledge that fungal infections:

A)require drug holidays to prevent side effects.
B)are often resistant to treatment,and can require months of therapy.
C)occur at locations that are difficult to reach with traditional routes of medication administration.
D)are capable of destroying certain medications,so new medications must be added.

Question 17

The nurse is providing discharge education for the patient with tinea corporis who will be taking nystatin cream.What instructions should the nurse include?

A)"Wash your hair at least three times a day for 2 weeks."
B)"Do not share any towels with family members."
C)"Comb the medication into your hair and cover with a towel."
D)"Avoid meat and high-protein foods while taking this medication."

Question 18

The nurse is caring for several clients on a medical unit in the hospital.Which client does the nurse recognize as being at greatest risk of acquiring an oral Candida infection?

A)The client with braces
B)The client who uses smokeless tobacco
C)The client with sleep apnea
D)The client using a steroid inhaler for asthma

Question 19

The nurse knows that in recent years there has been a rising need for effective treatments for fungal infections because of: Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

A)the increased incidence of HIV/AIDS.
B)advances in chemotherapeutic drugs.
C)increased use of indwelling IV catheters.
D)the overuse of broad-spectrum antibiotics.
E)the overuse of antiviral medications.

Question 20

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

A)bowel.
B)mucous membranes of the mouth.
C)urinary tract.
D)skin and hair.

Question 21

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

A)Hypokalemia
B)Leukopenia
C)Hematuria
D)Paresthesia

Question 22

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:

A)accumulates in nail beds and remains for several months.
B)breaks the cytoplasm in the fungal cell wall.
C)works by destroying toxins excreted by the fungi in the nails.
D)destroys circulating fungi in the blood.

Question 23

A client is due to receive fluconazole (Diflucan)for a fungal infection.The nurse would order specifying which route of administration? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

A)By mouth
B)By intramuscular injection
C)By intravenous injection
D)By subcutaneous injection
E)Topically

Question 24

A male client has been diagnosed with a dermatomycosis.The nurse informs the client that he has been diagnosed with which infection affecting the feet?

A)Tinea cruris
B)Tinea pedis
C)Tinea corporis
D)Tinea capitis

Question 25

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

A)Actos
B)Vancomycin
C)Captopril
D)Coumadin

Question 26

The nurse should teach the client taking itraconazole (Sporanox)capsules that:

A)the medication may take 2 or more weeks to reach therapeutic levels.
B)the medication should be taken on an empty stomach.
C)the skin could turn yellow.
D)gynecomastia could occur.