A nurse is reviewing the signs and symptoms of a fungal superinfection with a client.
The client demonstrates understanding of the information when he identifies which of the following as suggesting a fungal superinfection?
Bloody diarrhea.
Abdominal cramping.
Creamy white patches on the throat.
Heartburn.
The Correct Answer is C
Choice A rationale:
Bloody diarrhea is not typically associated with a fungal superinfection. This symptom is more indicative of gastrointestinal issues and may be related to other causes such as infection or inflammatory bowel disease.
Choice B rationale:
Abdominal cramping is also not a typical sign of a fungal superinfection. It is more likely to be associated with gastrointestinal problems, food intolerances, or other conditions.
Choice D rationale:
Heartburn is not a common sign of a fungal superinfection. It is usually associated with gastroesophageal reflux disease (GERD) or other gastrointestinal issues. Creamy white patches on the throat (Choice C) are indicative of oral thrush, a fungal superinfection. This condition is caused by the overgrowth of Candida albicans and is commonly seen in individuals with compromised immune systems, such as those on immunosuppressive therapy or with HIV. It is important to recognize these white patches as they may require treatment with antifungal medications to prevent further complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Correct Answer is A
Explanation
Choice A rationale:
Aminoglycosides are known to have nephrotoxic effects. Nephrotoxicity refers to kidney toxicity, and aminoglycosides can cause damage to the renal tubules, leading to impaired kidney function. The nurse should be alert to this potential toxicity when administering these drugs, as it can result in kidney dysfunction, altered serum creatinine levels, and electrolyte imbalances.
Choice B rationale:
Cardiotoxicity is not typically associated with aminoglycosides. These antibiotics primarily affect the kidneys and the inner ear. There is no direct relationship between aminoglycosides and cardiac toxicity.
Choice C rationale:
Hepatotoxicity refers to liver toxicity and is not a common side effect of aminoglycosides. Aminoglycosides are primarily metabolized in the kidneys and are excreted through urine, making kidney toxicity a more significant concern.
Choice D rationale:
Cytotoxicity is a broad term that refers to the toxicity of cells. Aminoglycosides do not typically cause generalized cytotoxic effects in the body. Their primary toxicities are related to specific organ systems, such as the kidneys and the inner ear.
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