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