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pharm chapter 35
chapter 35
22
Pharmacology
Undergraduate 1
10/31/2011

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Term
The nursing instructor teaches the student nurses about fungal infections. The nursing instructor evaluates learning has occurred when the student nurses make which statement(s)? Select all that apply.
Definition
1."Systemic infections require oral medications that have serious adverse effects."
2."Superficial infections are considered more benign than systemic infections.
3."Newer medications can be used for superficial as well as systemic infections."
Term
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?
Definition
"When cysts occur late in the disease, the parasite is too resistant for medications to be effective."
Term
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 of the nurse include?
Definition
Plan to take antimalarial drugs prophylactically.
Term
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?
Definition
The client with malignant melanoma who is receiving chemotherapy
Term
The nurse does medication education for the client with histoplasmosis who receives ketoconazole (Nizoral). The nurse evaluates learning has occurred when the client makes which statement?
Definition
"I could develop nausea, vomiting, and abdominal pain with this medication."
Term
The client has scalp ringworm and is being treated with econazole (Spectazole). What are the best discharge instructions by the nurse?
Definition
"Do not share any towels with family members."
Term
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 of the nurse include?
Definition
Dissolve the oral tablet in your mouth and then swallow it.
Term
The client receives amphotericin B (Fungizone) for histoplasmosis. What does the best assessment of the nurse include? Select all that apply.
Definition
1.Serum creatinine
2.Blood urea nitrogen
Term
The client receives metronidizole (Flagyl) for treatment of a vaginal yeast infection. What does the best medication education by the nurse include?
Definition
Do not drink alcohol with this medication.
Term
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?
Definition
I may expel worms for three days after I finish the medication."
Term
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?
Definition
The type of birth control the client is using
Term
The client is noncompliant with taking medications to prevent malaria prior to an overseas business trip. What will the best assessment of the nurse reveal?
Definition
The side effects of vomiting and diarrhea were too uncomfortable.
Term
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?
Definition
"The medication accumulates in your nail beds and is there for many months."
Term
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?
Definition
"It is all right to swish the medication and then spit it out."
Term
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?
Definition
"What analgesic do you take for headaches?"
Term
Superficial fungal infections differ from systemic fungal infections in that
superficial fungal infections:
Definition
Affect hair and skin.
Term
Which client is at the greatest risk of acquiring a serious fungal infection?
Definition
A client who is immunosuppressed
Term
Treatment for malaria involves:
Definition
Multi-drug therapy.
Term
The nurse is preparing to administer an antifungal medication\to an adult client. The nurse will administer the medication:
Definition
Medication should be swished and swallowed and swished and spit without anything else in the mouth.
Term
The drug that most likely will be used for treatment of Trichomonas vaginalis is:
Definition
Metronidazole (Flagyl).
Term
The mechanism of action of systemic antifungal agents is:
Definition
Interfere with the synthesis of ergosterol in the fungal cell membrane.
Term
A client is receiving amphotericin B. The nurse will reinforce teaching by telling the client that he should watch for:
Definition
Fever and chills.
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