Exam 92: Antifungal Agents

A patient with histoplasmosis is being treated with itraconazole [Sporanox]. The nurse will teach this patient to report which symptoms?

A nurse is caring for a patient who is receiving amphotericin B [Abelcet] for a systemic fungal infection. In spite of receiving diphenhydramine and acetaminophen before initiation of treatment,the patient has fever and chills with rigors. The nurse will contact the provider to discuss the addition of which drug?

A child has ringworm of the scalp. A culture of the lesion reveals a dermatophytic infection. The nurse teaching the child's parents about how to treat this infection will include which statement?

A patient will begin taking an immunosuppressant medication. The nurse learns that the patient has a history of frequent candidal infections. The nurse will expect the provider to order which drug as prophylaxis?

A patient will begin treatment with posaconazole [Noxafil] to treat oropharyngeal candidiasis that has not responded to fluconazole. The provider has ordered 200 mg three times daily. Which action by the nurse is correct?

A patient has an invasive aspergillosis infection. Which antifungal agent is the drug of choice for this infection?

The nurse is preparing to administer amphotericin B intravenously. The nurse will expect to pretreat the patient with which medications?

A nurse is discussing intravenous amphotericin B treatment with a nursing student who is about to care for a patient with a systemic fungal infection. Which statement by the student indicates a need for further teaching?

A patient has come to the clinic with tinea corporis,and the prescriber has ordered clotrimazole. When educating the patient about this medication,the nurse will include which statement?

Which superficial mycosis is generally treated with oral antifungal agents?

Amphotericin B is the drug of choice for which systemic mycosis? (Select all that apply.)

A patient is receiving intravenous voriconazole [Vfend]. Shortly after the infusion starts,the patient tells the nurse,"Colors look different,and the light hurts my eyes." What will the nurse do?

A nursing student asks a nurse about flucytosine [Ancobon]. Which statement by the nurse is correct?

A patient is being treated for a systemic fungal infection with amphotericin B [Abelcet] and will be discharged home from the hospital to complete every other day infusions of the medication for 6 to 8 weeks. The nurse provides discharge teaching before dismissal. Which statement by the patient indicates a need for further teaching?

A patient is being treated with amphotericin B [Abelcet] for a systemic fungal infection. After several weeks of therapy,the provider orders flucytosine [Ancobon] in addition to the amphotericin. The nurse understands that the rationale for this combination is that it:

A provider has ordered oral voriconazole [Vfend] for a patient who has a systemic fungal infection. The nurse obtains a medication history and learns that the patient takes phenobarbital for seizures. The nurse will contact the provider to discuss which possibility?

Ketoconazole is used as an alternative to amphotericin B for less severe systemic mycosis. Which are the primary reasons for choosing ketoconazole? (Select all that apply.)

A patient with a history of congestive heart failure and renal impairment has esophageal candidiasis. Which antifungal agent would the nurse anticipate giving to this patient?

A nurse is caring for a patient who has a superficial fungal infection and notes that the provider has ordered 200 mg of ketoconazole [Nizoral] 200 mg PO once daily. Which action by the nurse is correct?

A nursing student asks a nurse to explain the differences between amphotericin B [Abelcet] and the azoles group of antifungal agents. Which statement by the nurse is correct?