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NUR 03 > CH 36 TB, Fungal, Protozoan, HI > Flashcards

CH 36 TB, Fungal, Protozoan, HI Flashcards

1
Q

15) Which is the most common type of opportunistic fungal infection?
1. Cryptococcus neoformans
2. Candida albicans
3. Pneumocystis jiroveci
4. Microsporum species

A
  1. Candida albicans

Rationale: Candida albicans is the most common opportunistic fungal infection.

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2
Q

4) Which client is at the greatest risk for acquiring a fungal infection?
1. The client with severe burns over 20% of the body
2. The adolescent client with a fractured femur
3. The client with anemia who is pregnant with triplets
4. The client with malignant melanoma who is receiving chemotherapy

A
  1. The client with malignant melanoma who is receiving chemotherapy
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3
Q

19) Which prescription should the nurse anticipate prescribed for a client with trichomoniasis?

  1. Praziquantel (Biltricide)
  2. Chloroquine (Aralen)
  3. Nitazoxanide (Alinia)
  4. Metronidazole (Flagyl)
A
  1. Metronidazole (Flagyl)

Rationale: Metronidazole is the drug of choice for both giardiasis and trichomoniasis due to Trichomonas vaginalis.

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4
Q

28) Which information should the nurse include in the client teaching for amebiasis?
Select all that apply.

  1. “The primary symptom is diarrhea.”
  2. “Severe muscle cramping is a common symptom.”
  3. “Amebiasis may damage the liver.”
  4. “Brain abscesses are the typical fatal event.”
  5. “Amebiasis is contracted through contact with contaminated water.”
A
  1. “The primary symptom is diarrhea.”
  2. “Amebiasis may damage the liver.”
  3. “Amebiasis is contracted through contact with contaminated water.”

Rationale:

1) diarrhea can be severe
3) Amebiasis can cause cysts in the liver, damaging liver tissue
5) the primary source of amebiasis is contaminated water

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5
Q

29) Which information should the nurse include in the education for a parent of a child diagnosed with ascariasis?
Select all that apply.

  1. “Your child has pinworms.”
  2. “Children get worms from playing in infected soil.”
  3. “Treatment will consist of medication for 3 days.”
  4. “No treatment will be necessary after I give this one pill.”
  5. “No treatment is necessary; the worms will die on their own.”
A
  1. “Children get worms from playing in infected soil.”
  2. “Treatment will consist of medication for 3 days.”

Rationale:

2) worms live in infected soil
3) Ascariasis is treated with oral mebendazole (Vermox) for 3 days

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6
Q

8) Which laboratory values should the nurse plan on monitoring for the client receiving amphotericin B (Fungizone)?
Select all that apply.

  1. Serum amylase
  2. Serum sodium
  3. BUN
  4. Serum glucose
  5. Serum creatinine
A
  1. BUN
  2. Serum creatinine

Rationale: amphotericin B is nephrotoxic

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7
Q

9) The nurse has provided education for a client being treated for pinworms with mebendazole (Vermox). Which statement made by the client indicates an understanding of the information?
1. “I will consume high-fiber foods to help with passage of the worms.”
2. “I will make sure to chew the tablet.”
3. “I will avoid aspirin while I am on this medication.”
4. “I must have three negative stool cultures before I am cured.”

A
  1. “I will make sure to chew the tablet.”
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8
Q

11) Which information should the nurse include in the education for a client prescribed isoniazid (INH) for tuberculosis?
Select all that apply.

  1. Return to the clinic in 1 month for laboratory work.
  2. Report any numbness in your hands or feet.
  3. Take your prescription with food.
  4. Avoid the use of alcohol
  5. Avoid aged cheeses and smoked meats.
A
  1. Return to the clinic in 1 month for laboratory work.
  2. Report any numbness in your hands or feet.
  3. Avoid the use of alcohol
  4. Avoid aged cheeses and smoked meats.
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9
Q

17) Which information should the nurse include in the education for a client prescribed mebendazole (Vermox)?
Select all that apply.

  1. Effectively treats adult parasites
  2. High concentrations of the drug remain in the intestine
  3. Generally requires a few days of therapy
  4. Treatment of the larva will require a different prescription
  5. The prescription should be taken with a high-fat meal
A
  1. Effectively treats adult parasites
  2. High concentrations of the drug remain in the intestine
  3. Generally requires a few days of therapy
  4. The prescription should be taken with a high-fat meal
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10
Q

23) The nurse has provided education for a client prescribed a topical antifungal. Which statement made by the client indicates further teaching is needed?

  1. “I will allow the area to dry after applying the prescription.”
  2. “I will make sure my clothing is loose over the area.”
  3. “I will protect the area with an occlusive dressing.”
  4. “I will not scrub the area where the prescription will be applied.”
A
  1. “I will protect the area with an occlusive dressing.”
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11
Q

26) Which information should the nurse include in the education for a client prescribed rifampin (Rifadin)?
1. “Your urine may turn reddish orange.”
2. “Your skin may turn yellowish orange.”
3. “Your stools may turn black.”
4. “Your sweat may turn yellow.”

A
  1. “Your urine may turn reddish orange.”
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12
Q

12) A client with a fungal infection of the toenails prescribed oral terbinafine (Lamisil) asks the nurse how a pill will heal the nail infection. What should be the nurse’s response?
1. “The prescription accumulates in the nail beds and remains there for many months.”
2. “The prescription will be combined with a topical agent to increase effectiveness.”
3. “The prescription works by destroying toxins excreted by the fungi in your nails.”
4. “The prescription works by destroying circulating fungi in your blood.”

A
  1. “The prescription accumulates in the nail beds and remains there for many months.”
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13
Q

14) The nurse is preparing education for a client prescribed metronidazole (Flagyl). Which laboratory tests should the nurse anticipate to be affected by the prescription?
1. ALT/AST
2. BUN/Creatinine
3. CBC
4. Electrolytes

A
  1. ALT/AST
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14
Q

3) Which prophylactic treatment should the nurse anticipate to be prescribed for a client prior traveling to Africa?
1. Antibiotics
2. Protease inhibitors
3. Immunizations for malaria
4. Antimalarial drugs

A
  1. Antimalarial drugs
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15
Q

30) A parent of a child diagnosed with pinworms tells the nurse they are concerned about administering the prescription because it may be toxic. Which information should the nurse include in the teaching?
Select all that apply.
1. “Very little of the drug is absorbed into the system.”
2. “Severe infestations can result in malabsorption.”
3. “It is critical that you give this medication.”
4. “Many types of pinworms are resistant to treatment.”
5. “The child may be at an increased risk for immunosuppression.”

A
  1. “Very little of the drug is absorbed into the system.”

2. “Severe infestations can result in malabsorption.”

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16
Q

8) Which is the most common type of opportunistic fungal infection?
1. Cryptococcus neoformans
2. Candida albicans
3. Pneumocystis jiroveci
4. Microsporum species

A
  1. Candida albicans
17
Q

11) Which information should the nurse include in the education for a client prescribed isoniazid (INH) for tuberculosis?
Select all that apply.
1. Return to the clinic in 1 month for laboratory work.
2. Report any numbness in your hands or feet.
3. Take your prescription with food.
4. Avoid the use of alcohol
5. Avoid aged cheeses and smoked meats

A
  1. Return to the clinic in 1 month for laboratory work.
  2. Report any numbness in your hands or feet.
  3. Avoid the use of alcohol
  4. Avoid aged cheeses and smoked meats
18
Q

9) The nurse has provided education for a client being treated for pinworms with mebendazole (Vermox). Which statement made by the client indicates an understanding of the information?
1. “I will consume high-fiber foods to help with passage of the worms.”
2. “I will make sure to chew the tablet.”
3. “I will avoid aspirin while I am on this medication.”
4. “I must have three negative stool cultures before I am cured.”

A
  1. “I will make sure to chew the tablet.”
19
Q

17) Which information should the nurse include in the education for a client prescribed mebendazole (Vermox)?
Select all that apply.
1. Effectively treats adult parasites
2. High concentrations of the drug remain in the intestine
3. Generally requires a few days of therapy
4. Treatment of the larva will require a different prescription
5. The prescription should be taken with a high-fat meal

A
  1. Effectively treats adult parasites
  2. High concentrations of the drug remain in the intestine
  3. Generally requires a few days of therapy
  4. The prescription should be taken with a high-fat meal
20
Q

Which information should the nurse include in the education for a client prescribed rifampin (Rifadin)?

  1. “Your urine may turn reddish orange.”
  2. “Your skin may turn yellowish orange.”
  3. “Your stools may turn black.”
  4. “Your sweat may turn yellow.”
A
  1. “Your urine may turn reddish orange.”
21
Q

3) Which prophylactic treatment should the nurse anticipate to be prescribed for a client prior traveling to Africa?
1. Antibiotics
2. Protease inhibitors
3. Immunizations for malaria
4. Antimalarial drugs

A
  1. Antimalarial drugs
22
Q

6) Which nursing interventions are required for the client prescribed amphotericin B (Fungizone)?
Select all that apply.
1. Administer the medication by IV push.
2. Administer acetaminophen before giving the amphotericin B (Fungizone).
3. Review the BUN level.
4. Administer corticosteroids 1 hour after

A
  1. Administer the medication by IV push.
  2. Administer acetaminophen before giving the amphotericin B (Fungizone).
  3. Review the BUN level.
23
Q 
8) Which laboratory values should the nurse plan on monitoring for the client receiving amphotericin B (Fungizone)?
Select all that apply.
1.	Serum amylase
2.	Serum sodium
3.	BUN
4.	Serum glucose
5.	Serum creatinine
A
  1. BUN

5. Serum creatinine

24
Q 
21) Which symptoms should the nurse instruct a client receiving amphotericin B (Fungizone) to report?
Select all that apply.
1.	Fever
2.	Hearing loss
3.	Dizziness
4.	Constipation
5.	Heart palpitations
A
  1. Fever
  2. Hearing loss
  3. Dizziness
  4. Heart palpitations
25
Q

27) The nurse is caring for a client suspected of an overdose of amphotericin B (Fungizone). Which condition should the nurse observe the client for?
1. Cardiorespiratory arrest
2. Acute renal failure
3. Hepatotoxicity
4. Stevens-Johnson Syndrome

A
  1. Cardiorespiratory arrest

NUR 03 (11 decks)

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