A patient has been diagnosed with fungal otitis externa (otomycosis). The nurse correctly explains that for the first course of treatment the patient should expect: a. acidifying drops for 1 week
a. acidifying drops for 1 week.
b. antibiotic ear drops.
c. intravenous (IV) antifungal agents.
d. oral antibiotics.
ANS: A
As a rule, otomycosis can be managed with thorough cleansing and application of acidifying drops (2% acetic acid solution applied 3 or 4 times a day for 7 days). If that does not work, an antifungal drug solution can be tried. If the infection fails to respond to the drug, oral antifungal therapy may be needed. Neither antibiotic ear drops nor oral antibiotics are indicated as the first course of treatment. IV antifungal agents are not indicated at all.
You might also like to view...
The nurse is providing care for a palliative patient with a diagnosis of bone cancer who has chosen to return home. The patient has a complex pain-control regimen that will be managed by his wife
The nurse has conducted extensive teaching and addressed issues related to environmental factors knowing that the environment can effect which of the following aspects of drug therapy? (Select all that apply.) A) Drug stability B) Drug effectiveness C) Risk of patient injury D) Risk of drug toxicity E) Drug allergies
The pain of costochondritis typically ____
A. Mimics cardiac crushing and squeezing pain B. Worsens with movement and full inspiration C. Radiates from epigastrium into the back D. Is a tearing and ripping pain
When using the online billing and payment tool, which functions directly benefit the patient? (Select all that apply.)
a. Self-management of open accounts b. Ability to pay outstanding balances c. Gives providers a dashboard to view critical clinical and financial information d. Secure communication on a 24/7 basis with the business office e. Ability to update address or demographic changes f. Automate the provider's day as much as possible
One week after beginning therapy with thiothixene (Navane), the client demonstrates muscle rigidity, a temperature of 103°F, an elevated serum creatinine phosphokinase level, stupor, and incontinence
The nurse should notify the physician because these symptoms are indicative of: A) Acute dystonic reaction B) Extrapyramidal side effects C) Neuroleptic malignant syndrome D) Tardive dyskinesia