A nurse is reviewing the medication history of a client who has a fungal infection and is prescribed caspofungin. The nurse should identify that which of the following medications can interact with caspofungin?

Cyclosporine

Warfarin

Metformin

Digoxin.

“It binds to ergosterol and creates holes in the cell membrane."

Answer and Explanation

The Correct Answer is A

Cyclosporine can interact with caspofungin and increase its plasma concentration and risk of liver toxicity. Cyclosporine is a drug used to prevent organ rejection or suppress the immune system.

Choice B is wrong because warfarin does not have a significant interaction with caspofungin. Warfarin is a blood thinner that prevents blood clots.

Choice C is wrong because metformin does not have a significant interaction with caspofungin. Metformin is a drug used to lower blood sugar levels in diabetes.

Choice D is wrong because digoxin does not have a significant interaction with caspofungin. Digoxin is a drug used to treat heart failure and irregular heartbeat.

Caspofungin is an antifungal drug that belongs to the echinocandin class. It works by inhibiting the synthesis of a component of the fungal cell wall called beta-glucan.

It is used to treat various fungal infections such as candidemia, esophageal candidiasis, invasive aspergillosis, and febrile neutropenia

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Correct Answer is A

Explanation

This statement indicates that the client understands the proper use of terbinafine cream for tinea pedis, which is a fungal infection of the feet.Terbinafine cream is an antifungal agent that works by killing the fungus or preventing its growth.According to a study, terbinafine 1% cream applied once daily for 7 days is effective in treating interdigital tinea pedis, but some sources recommend applying it twice daily for 2 weeks.

Choice B is wrong because washing the feet with soap and water before applying the cream is not necessary and may cause irritation or dryness of the skin.

Choice C is wrong because covering the affected area with a bandage after applying the cream is not advised and may create a moist environment that favors fungal growth.

Choice D is wrong because itching or burning are common side effects of terbinafine cream and do not indicate an allergic reaction or a need to stop using the cream.However, if the symptoms are severe or persist, the client should contact their health care provider.

A. Apply the cream once a day for 7 days B. Wash the applicator with soap and water after each use C. Avoid sexual intercourse until the infection is cleared C. Use a backup method of contraception if using oral contraceptives D. Report any signs of bleeding or bruising to the provider.

Correct Answer is ["C","D"]

Explanation

The nurse should instruct the client to avoid sexual intercourse until the infection is cleared, as it can cause irritation and inflammation of the vaginal mucosa and potentially transmit the infection to the partner.The nurse should also instruct the client to use a backup method of contraception if using oral contraceptives, as miconazole cream can reduce the effectiveness of hormonal contraceptives.

Choice A is wrong because the client should apply the cream twice a day for 7 days, not once a day.

Choice B is wrong because the client should not wash the applicator with soap and water after each use, as it can alter the pH of the vagina and promote fungal growth.

Choice E is wrong because bleeding or bruising are not common side effects of miconazole cream and are not related to vaginal candidiasis infection.

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A nurse is reviewing the medication history of a client who has a fungal infection and is prescribed caspofungin. The nurse should identify that which of the following medications can interact with caspofungin?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is educating a client who has tinea pedis about the use of terbinafine cream. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is A

Explanation

A nurse is teaching a client who has a vaginal candidiasis infection about the use of miconazole cream. Which of the following instructions should the nurse include? (Select all that apply.).

Correct Answer is ["C","D"]

Explanation

A nurse is administering albendazole to a client who has a tapeworm infection. The client asks how the drug works. Which of the following responses should the nurse give?

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A nurse is reviewing the medication history of a client who has a fungal infection and is prescribed caspofungin. The nurse should identify that which of the following medications can interact with caspofungin?

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