A patient with a history of congestive heart failure and renal impairment has esophageal candidiasis. Which antifungal agent would the nurse anticipate giving to this patient?
a. Amphotericin B [Abelcet]
b. Fluconazole [Diflucan]
c. Itraconazole [Sporanox]
d. Voriconazole [Vfend]
B
Fluconazole is a drug of choice for treating systemic candidal infections. Amphotericin is neph-rotoxic and should not be used in patients with existing renal disease. Itraconazole is a possible alternative agent for treating candidiasis but has serious cardiac side effects. Voriconazole is a drug of first choice for treating aspergillosis but not for candidiasis.
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A nurse assesses a client with a cast for potential compartment syndrome. Which clinical manifestations are correctly paired with the physiologic changes of compartment syndrome? (Select all that apply.)
a. Edema - Increased capillary permeability b. Pallor - Increased blood blow to the area c. Unequal pulses - Increased production of lactic acid d. Cyanosis - Anaerobic metabolism e. Tingling - A release of histamine
When caring for a client with chemotherapy-induced anemia, the nurse should:
a. administer units of platelets. c. monitor oxygen saturation b. administer ferrous gluconate. d. monitor leukocyte count.
The nurse is preparing a class on breastfeeding for pregnant women in their first trimester. The women are from a variety of cultural backgrounds, and all speak English well. Which statement should the nurse include in this presentation?
1. "Although some cultures believe colostrum is not good for the baby, it provides protection from infections and helps the digestive system to function." 2. "Some women are uncomfortable with exposing their breasts to nurse their infant, but it really isn't a big deal. You will get used to it." 3. "No religion prescribes a feeding method, so you all can choose whatever method makes the most sense to you." 4. "Many cultures consider skinny babies to be healthier than chubby babies. Breastfeeding is best for those people."
The nurse is managing care for several patients at a diabetic treatment center. What is the primary intervention for the nurse?
1. To administer the correct medicine to the correct patient at the correct dose and the correct time via the correct route 2. To return the patient to an optimum level of wellness while limiting adverse effects related to the patient's medical diagnosis 3. To include any cultural or ethnic preferences in the administration of the medication 4. To answer any questions the patient may have about the medicine, or any possible side effect of the medication