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.).

Apply the cream once a day for 7 days

Wash the applicator with soap and water after each use C. Avoid sexual intercourse until the infection is cleared

Use a backup method of contraception if using oral contraceptives

Report any signs of bleeding or bruising to the provider.

Answer and Explanation

Correct Answer : C,D

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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Correct Answer is A

Explanation

Amphotericin B is a drug used to treat fungal infections, but it can cause kidney damage and electrolyte imbalance as a common side effect. The nurse should monitor the client’s urine output, creatinine, potassium, and magnesium levels.

Choice B is wrong because Ototoxicity is wrong because amphotericin B does not affect the ears or hearing.

Ototoxicity is more common with aminoglycosides, another class of antibiotics.

Choice C is wrong because Hepatotoxicity is wrong because amphotericin B does not cause liver damage.

Hepatotoxicity is more common with azoles, another class of antifungals.

Choice D is wrong because Thrombocytopenia is wrong because amphotericin B does not cause low platelet count.

Thrombocytopenia is more common with heparin, an anticoagulant drug.

A. Cyclosporine B. Warfarin C. Metformin D. Digoxin. E. “It binds to ergosterol and creates holes in the cell membrane."

Correct Answer is A

Explanation

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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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.).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a fungal infection and is prescribed amphotericin. What adverse effects should the nurse monitor for in this client?

Correct Answer is A

Explanation

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?

Correct Answer is A

Explanation

A nurse is caring for a client who has malaria and is prescribed chloroquine. What is the mechanism of action of this drug?

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?

A nurse is caring for a client who has a viral infection. Which of the following antiviral groups bind to and inhibit viral reverse transcriptase enzyme that is essential for viral RNA synthesis? (Select all that apply)

A nurse is caring for a client who has a viral infection. The client asks the nurse how nucleoside analogs work to treat viral infections. Which of the following statements by the nurse is correct?

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?

A nurse is caring for a client who has a viral infection. Which of the following antiviral groups inhibits viral DNA polymerase or reverse transcriptase enzymes that are essential for viral DNA or RNA synthesis?

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.).

A nurse is caring for a client who has a viral infection and is taking an antiviral medication that inhibits the integrase enzyme that is essential for viral DNA integration into host cell genome. Which of the following antiviral groups does this medication belong to?