(Select all that apply): A nurse is caring for a client with fungal meningitis. Which antifungal drugs may be used to treat this condition? (Select all that apply)
Amphotericin B.
Fluconazole.
Albendazole.
Ivermectin.
Voriconazole.
Correct Answer : A,B,E
Choice A rationale:
Amphotericin B is an antifungal drug that may be used to treat fungal meningitis. It is effective against a wide range of fungal pathogens and is often considered the drug of choice for severe systemic fungal infections, including fungal meningitis.
Choice B rationale:
Fluconazole is another antifungal drug used to treat fungal meningitis. It is effective against certain types of fungi, especially Candida species, which are known to cause fungal meningitis in some cases.
Choice E rationale:
Voriconazole is a broad-spectrum antifungal medication that is also used to treat fungal meningitis. It is particularly effective against Aspergillus species, which can cause invasive fungal infections, including meningitis.
Choice C rationale:
Albendazole is an antiparasitic drug and is not used to treat fungal meningitis. It is primarily indicated for the treatment of parasitic infections, such as certain types of worms.
Choice D rationale:
Ivermectin is another antiparasitic drug and is not used in the treatment of fungal meningitis. It is commonly used to treat various parasitic infections but has no activity against fungal pathogens.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Viral meningitis is less likely in this case because the patient has weakened immunity, suggesting a chronic and severe condition. Viral meningitis is often self-limiting and less severe in immunocompetent individuals.
Choice B rationale:
Bacterial meningitis is less likely in this case as well, as chronic meningitis usually has a slower onset, and bacterial meningitis tends to have a more acute and rapidly progressive course.
Choice C rationale:
Fungal meningitis is more likely in a patient with weakened immunity, as certain fungal pathogens, such as Cryptococcus and Histoplasma, can cause chronic and persistent meningitis in immunocompromised individuals.
Choice D rationale:
Parasitic meningitis is not a common form of meningitis and is usually associated with specific parasitic infections, which are less likely to occur in immunocompromised patients.
Choice E rationale:
Tuberculous meningitis is a type of bacterial meningitis caused by Mycobacterium tuberculosis. While it can occur in immunocompromised individuals, fungal meningitis is more prevalent in this population.
Correct Answer is C
Explanation
Choice A rationale:
Meningococcal meningitis is not mainly seen in infants. It can affect individuals of all ages, but infants and young children are more susceptible to certain types of bacterial meningitis, such as Haemophilus influenzae type b.
Choice B rationale:
Meningococcal meningitis is primarily transmitted through respiratory droplets, close contact with an infected person, or exposure to contaminated respiratory or throat secretions. It is not primarily linked to regions with contaminated water.
Choice C rationale:
Meningococcal meningitis can progress rapidly and cause death within hours if left untreated. Therefore, early recognition and prompt medical treatment are essential to improve outcomes.
Choice D rationale:
The statement comparing meningococcal meningitis with fungal meningitis' mortality rate is not accurate. While meningococcal meningitis can be severe, fungal meningitis is generally associated with a higher mortality rate, especially in individuals with weakened immune systems.
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