The nurse admits a patient diagnosed with diabetes who has been undergoing fertility treatment in the hopes of becoming pregnant but is not pregnant at this time
The patient has a life-threatening fungal infection and requires systemic antifungal therapy. What medication would be contraindicated in this patient? A) Ketoconazole
B) Fluconazole
C) Posaconazole
D) Itraconazole
A
Feedback:
Ketoconazole is not the drug of choice for patients with endocrine or fertility problems because of its effects on these processes. It is not known whether posaconazole crosses the placenta or enters breast milk, so it should not be used during pregnancy or lactation unless the benefits clearly outweigh the potential risks but has no risk to those with fertility or endocrine problems. Fluconazole and itraconazole would be safe for this patient.
You might also like to view...
In a person with an upper motor neuron lesion such as a cerebrovascular accident, which of these physical assessment findings should the nurse expect?
a. Hyperreflexia b. Fasciculations c. Loss of muscle tone and flaccidity d. Atrophy and wasting of the muscles
The young husband of a patient who has been scheduled for a hysterectomy because of the discovery of ovarian cancer in both ovaries says to the nurse, "Please go talk to my wife. She is real upset and says she won't be a 'woman' anymore."
What is the nurse's most therapeutic response? a. "Don't be concerned. All young women get upset before this kind of surgery." b. "Certainly, I will be glad to tell her about hormone replacement." c. "She will get over this feeling soon." d. "No matter what I may say to her, it is you that needs to listen to her concerns and assure her."
A patient is admitted to the hospital with unstable angina and will undergo a percutaneous coronary intervention. Which drug regimen will the nurse expect to administer to prevent thrombosis in this patient?
a. Aspirin, clopidogrel, omeprazole b. Aspirin, heparin, abciximab [ReoPro] c. Enoxaparin [Lovenox], prasugrel [Effient], warfarin [Coumadin] d. Heparin, alteplase, abciximab [ReoPro]
A patient tells a nurse that a medication prescribed for recurrent migraine headaches is not working. What will the nurse do?
a. Ask the patient about the number and frequency of tablets taken. b. Assess the patient's headache pain on a scale from 1 to 10. c. Report the patient's complaint to the prescriber. d. Suggest biofeedback as an adjunct to drug therapy.