Question 1

The nurse caring for a hospitalized client monitors for which opportunistic fungal infections?
Select all that apply.

Accepted Answer

Opportunistic fungal infections are more likely to occur in clients with a compromised immune system, such as hospitalized clients. Candidiasis, Aspergillosis, Cryptococcosis, and Mucormycosis are all possible opportunistic fungal infections that the nurse should monitor for in this population. Sporotrichosis is a rare infection that typically occurs after contact with contaminated plants or soil and is not commonly seen in hospitalized clients.

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?

Accepted Answer

Fungal infections often require prolonged treatment, sometimes lasting several weeks or even months. Option A is incorrect because not all fungal infections have effective drug treatments, and some can be resistant to treatment. Option B is incorrect because fungal infections generally grow slowly and spread gradually. Option D is incorrect because fungal infections are not limited to athletes or healthy individuals and can affect anyone with weakened immune systems or exposure to contaminated environments.

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?

Accepted Answer

Griseofulvin can decrease the effectiveness of hormonal birth control methods. Therefore, it is critical for the nurse to assess the type of birth control the patient is using and advise the patient to use alternative methods of contraception during treatment and for one month after completing treatment. The client's height and weight may be relevant for dosing calculations but are not directly related to the medication's action. The client's cholesterol level and cheese intake are not relevant to the safe administration of griseofulvin.

Question 4

A client with AIDS is suffering from a systemic fungal infection.The nurse anticipates that the drug of choice for this client will be:

Accepted Answer

Amphotericin B is the drug of choice for treating systemic fungal infections in clients with AIDS. It's given intravenously because it isn't well absorbed from the gastrointestinal tract. Fluconazole is another antifungal medication indicated for the treatment of candidiasis in clients with AIDS. Nystatin is used to treat superficial fungal infections, and griseofulvin is used to treat dermatophyte infections.

Question 5

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?
Select all that apply.

Accepted Answer

The answer of A client is being treated with amphotericin...

Question 6

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?

Accepted Answer

Clients receiving chemotherapy are at a higher risk for fungal infections due to their compromised immune systems.

Question 7

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?

Accepted Answer

Aspergillosis is an opportunistic infection, meaning that it typically affects individuals who have a weakened immune system or other predisposing factors. It is caused by the fungus Aspergillus and can affect the lungs, sinuses, or other organs. It is not transmitted by direct contact or through a vector.

Question 8

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

Accepted Answer

Clients with diabetes are at the greatest risk of acquiring a fungal infection of the nail due to their compromised immune system and poor circulation, which can lead to decreased blood flow to the feet and toes, making them more susceptible to infection.

Question 9

The nurse knows that in recent years there has been a rising need for effective treatments for fungal infections because of:
Select all that apply.

Accepted Answer

A) HIV/AIDS weakens the immune system, making individuals more susceptible to fungal infections.
B) Chemotherapeutic drugs may weaken the immune system, leaving patients vulnerable to fungal infections.
C) Indwelling IV catheters increase the risk of fungal infections by providing a way for fungi to enter the body.
D) Overuse of broad-spectrum antibiotics can disrupt the balance of normal flora, leading to overgrowth of harmful organisms such as fungi. 
E) Overuse of antiviral medications is not directly related to the rising need for effective fungal infection treatments.

Question 10

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)?
Select all that apply.

Accepted Answer

A) Systemic fungal infections indeed require oral (or sometimes intravenous) medications, which can have serious side effects due to their systemic nature and the need for them to work throughout the body.B) Superficial fungal infections are indeed considered more benign than systemic infections because they affect only the surface of the body, such as the skin or mucous membranes, and are generally easier to treat.C) Newer antifungal medications have been developed that can be effective against both superficial and systemic fungal infections, offering broader treatment options.

Question 11

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

Accepted Answer

Nausea, vomiting, and abdominal pain are common side effects of ketoconazole, so the client has understood the potential adverse reactions. Choice B is incorrect because the length of treatment depends on the condition being treated and should be determined by the healthcare provider. Choice C is incorrect because ketoconazole should be taken with food to improve absorption. Choice D is incorrect because resistance to ketoconazole is rare and not a major concern with appropriate use.

Question 12

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?
Select all that apply.

Accepted Answer

Ketoconazole, Voriconazole, Itraconazole, and Fluconazole are antifungal medications that can be used to treat both superficial and systemic fungal infections. Nystatin is typically used for superficial infections, particularly those involving the mucous membranes and skin, and is not effective for systemic infections.

Question 13

A client has a serious systemic fungal infection.The nurse anticipates that the physician will prescribe which medications to treat this infection?
Select all that apply.

Accepted Answer

Amphotericin B, flucytosine, and caspofungin are all used to treat serious systemic fungal infections. Griseofulvin and terbinafine are more commonly used to treat superficial fungal infections such as ringworm or athlete's foot.

Question 14

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

Accepted Answer

Fungi are eukaryotic organisms, which means they have a complex cellular organization similar to that of human cells, including a defined nucleus. This makes them more similar to human cells than bacteria, which are prokaryotic and lack a nucleus. Antibiotics target bacteria and are not effective against fungi. Antifungals can be either fungistatic, inhibiting fungal growth, or fungicidal, killing fungi.

Question 15

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?
Select all that apply.

Accepted Answer

Clients with weakened immune systems, such as those with lupus being treated with steroids, those with AIDS, those undergoing chemotherapy, and those who have had organ transplants are all at increased risk for systemic fungal infections. Prophylactic pharmacological therapy may be necessary to prevent such infections in these individuals. The client recovering from an appendectomy does not have the same level of immunocompromised status as the other clients listed and would not necessarily require prophylactic therapy for fungal 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:

Accepted Answer

Fungal infections are often resistant to treatment and can require months of therapy. Therefore, antifungal medications need to be taken for an extended period of time to ensure complete eradication of the infection.

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?

Accepted Answer

Tinea corporis is a fungal infection of the skin, and it can easily spread through contaminated towels and clothing. Therefore, it is important to avoid sharing towels and clothing with family members to prevent the spread of the infection. Washing hair three times a day is not necessary, and combing medication into hair is not relevant for tinea corporis. Avoiding meat and high-protein foods is not necessary when taking nystatin cream.

Question 18

The nurse would correctly identify a superficial mycosis as one affecting the:
Select all that apply.

Accepted Answer

The answer of The nurse would correctly identify a superficial...

Question 19

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

Accepted Answer

Tinea fungal infections primarily affect the skin and hair, causing symptoms such as itching, redness, scaling, and often circular-shaped rashes.

Question 20

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?

Accepted Answer

The client using a steroid inhaler for asthma is at greatest risk of acquiring an oral Candida infection because steroids suppress the immune system, which can lead to overgrowth of Candida in the mouth. Braces and sleep apnea are not risk factors for oral Candida infection. Smokeless tobacco use may increase the risk of oral cancer, but not specifically Candida infection.

Quiz 52: Pharmacotherapy of Fungal Infections

The nurse caring for a hospitalized client monitors for which opportunistic fungal infections? Select all that apply.

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 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 client with AIDS is suffering from a systemic fungal infection.The nurse anticipates that the drug of choice for this client will be:

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? Select all that apply.

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?

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?

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

The nurse knows that in recent years there has been a rising need for effective treatments for fungal infections because of: Select all that apply.

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) ? Select all that apply.

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

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? Select all that apply.

A client has a serious systemic fungal infection.The nurse anticipates that the physician will prescribe which medications to treat this infection? Select all that apply.

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

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? Select all that apply.

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:

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

The nurse would correctly identify a superficial mycosis as one affecting the: Select all that apply.

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

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?