McKenna's Pharmacology for Nursing, 2e

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P A R T 2  Chemotherapeutic agents

4. The health professional is describing fungi that cause infections of the skin and mucous membranes, appropriately calling these which of the following? a. mycoses

MULTIPLE RESPONSE Select all that apply.

1. When administering a systemic antifungal, the health professional would include which of the following in the person’s plan of care? a. ensuring that a culture of the affected area had been done. b. having the person swallow the troche used for oral Candida infections. c. ensuring that the person stays flat for at least 1 hour if receiving a vaginal suppository. d. monitoring the IV site to prevent phlebitis. e. keeping the person NBM (nothing by mouth) if GI upset occurs to prevent vomiting. f. providing antipyretics if fever occurs with IV antifungals. 2. The nurse or midwife would include which of the following in a teaching plan for a person who is receiving an oral antifungal drug? a. It is important that you complete the full course of your drug therapy. b. You can share this drug with other family members if they develop the same symptoms. c. If you feel drowsy or dizzy, you should avoid driving or operating dangerous machinery. d. If GI upset occurs, avoid eating and drinking so you don’t vomit and lose the drug. e. Use over-the-counter drugs to counteract any adverse effects like headache, fever or rash.

b. meningeal fungi c. dermatophytes d. worms

5. After teaching a group of students about topical fungal infections, the instructor determines that the students need additional instruction when they identify which of the following as an example? a. athlete’s foot b. Rocky Mountain spotted fever c. jock itch d. vaginal yeast infections 6. Which of the following would the nurse or midwife recommend that a woman with repeated vaginal yeast infections keep on hand? a. undecenoic acid b. butenafine c. clotrimazole d. cipropirox 7. The nurse or midwife instructs a person to use care when applying topical antifungal agents to prevent systemic absorption because: a. the fungus is only on the surface. b. these drugs are too toxic to be given systemically. c. absorption would prevent drug effectiveness. d. these drugs can cause serious local burning and pain. 8. A person with a severe case of athlete’s foot is seen with lesions between the toes, which are oozing blood and serum. After teaching the person, the health professional determines that the instruction was effective if the person states which of the following? a. “I have to wear black socks and must be careful not to change them very often because it could pull more skin off my feet.” b. “I need to apply a thick layer of the antifungal cream between my toes, making sure that all of the lesions are full of cream.” c. “I should wear white socks and keep my feet clean and dry. I shouldn’t use the antifungal cream in areas where I have open lesions.” d. “After I apply the cream to my feet, I should cover my feet in plastic wrap for several hours to make sure the drug is absorbed.”

f. Notify your healthcare provider if you experience yellowing of the skin or eyes, dark urine or light- coloured stools, or fever and chills.