44 Flashcards
A nurse is caring for a patient who is on amphotericin B. On morning rounds the patient reports weakness, numbness, and a tingling sensation in his feet. What would be a priority action by the nurse?
Keep the bed in a low position and the side rails up at all times.
A nurse is monitoring the fluid input and output of a 26-year-old woman who is on amphotericin B. Which of the following would the nurse report immediately to the physician?
Serum creatinine level of 3.5 mg/dL
A nurse is caring for a 68-year-old woman who is on amphotericin B therapy. The patient is complaining of discomfort due to infusion reactions. Which of the following nursing actions will help reduce this discomfort?
Provide extra blankets, diversion therapy, or warm fluids
A 34-year-old man is HIV-positive and is receiving fluconazole to treat a mild case of mycosis. The nurse will monitor the patient for which of the following adverse effects?
Exfoliative skin disorders
A nurse is caring for a 29-year-old man who is being treated for meningitis. He is receiving flucytosine (5-FC). Which of the following will the nurse monitor weekly?
Hematologic status
A nurse is instructing a 19-year-old female patient on the use of fluconazole for candida vaginitis. A teaching priority will be to
use an alternative form of birth control, if taking an oral contraceptive.
A patient is prescribed voriconazole (Vfend) for esophageal candidiasis. Which of the following adverse effects will the patient most likely experience?
Visual disturbances
A woman is being treated for vulvovaginal candidiasis with butoconazole. The nurse will advise the patient to refrain from
sexual intercourse if she relies on condoms for contraception.
Sulconazole has been prescribed for a patient with tinea pedis. The nurse will instruct the patient to use the topical agent
once a day.
A nurse is explaining the use of griseofulvin to a patient. It will be important for the nurse to assess for the patient’s use of
alcohol.
A 49-year-old farmer who normally enjoys good health has become seriously ill in recent days and the results of an extensive diagnostic work up have resulted in a diagnosis of histoplasmosis. The patient has been admitted to the hospital and has begun treatment with amphotericin B. The nurse who is providing care for the patient should prioritize which of the following diagnostic results during his course of treatment?
Electrolytes, blood urea nitrogen, and creatinine
An immunocompromised patient with a diagnosis of candidiasis has failed to respond to conservative therapy and has consequently begun treatment with amphotericin B. The nurse is aware that this drug achieves a therapeutic effect by way of its influence on
the permeability of fungal cell walls.
An immunocompromised cancer patient has developed cryptococcal meningitis and been admitted to the intensive care unit for treatment with amphotericin B. How should the nurse most safely administer this drug?
Infuse the drug over 2 to 4 hours into a central line using an infusion pump
A 31-year-old woman is 20 weeks pregnant and has sought care because of a vaginal yeast infection. She has requested fluconazole from her care provider, citing the successful treatment of previous cases of candida vaginitis with this drug. How should her care provider respond?
“Fluconazole isn’t absolutely prohibited during pregnancy, but we need to consider carefully whether you need it.”
An 80-year-old woman who resides in a care facility is receiving treatment with oral fluconazole for a fungal infection. Following yesterday’s and today’s dose, she has complained of an upset stomach after taking the drug. How should the nurse at the facility best respond to the woman’s complaint?
Provide food along with the fluconazole when administering it in the future.
