The nurse does medication education for the client with histoplasmosis who receives ketoconazole (Nizoral). The nurse evaluates that learning has occurred when the client makes which statement?
1. "I cannot take this medication longer than 10 days."
2. "I could develop resistance to this medication if I take it too often."
3. "I could develop nausea, vomiting, and abdominal pain with this medication."
4. "I can't take my diabetes medicine with this drug."
Correct Answer: 3
Rationale 1: Ketoconazole (Nizoral) is often used for longer than 10 days.
Rationale 2: Organisms, not people, develop resistance; this is not a likely occurrence anyway.
Rationale 3: Nausea, vomiting, and abdominal pain are common side effects of ketoconazole (Nizoral).
Rationale 4: The azole antifungals may affect glycemic control in diabetic clients. There is no indication to stop medications.
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The nurse is preparing discharge teaching for the parents of a 7-year-old boy with hydrocephalus and a ventriculoperitoneal shunt. Which information does the nurse include in the discharge teaching? (Select all that apply.)
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Immobilization causes what effect on metabolism?
a. Hypocalcemia b. Decreased metabolic rate c. Positive nitrogen balance d. Increased levels of stress hormones
The physician orders a urinary 17-ketosteroid test on a client with a suspected adrenal disorder. The nurse is responsible to:
A) send the first voided urine specimen of the day to the laboratory. B) keep a 24-hour urine collection on ice. C) obtain a catheterized sterile urine specimen. D) instruct client to avoid drinking any caffeine products.