A patient has an invasive aspergillosis infection. Which antifungal agent is the drug of choice for this infection?

a. Amphotericin B
b. Fluconazole [Diflucan]
c. Posaconazole [Noxafil]
d. Voriconazole [Vfend]


D
Voriconazole has replaced amphotericin B as the drug of choice for treating invasive aspergillosis. Fluconazole, which is fungistatic, is not used to treat aspergillosis. Posaconazole is used for prophylaxis of aspergillosis in immunocompromised patients.

Nursing

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The daughter of a 67-year-old client hospitalized for pneumonia voices concerns to the nurse about the hospital bills. The daughter asks if her mother is old enough to qualify for Medicaid. What information should the nurse provide to the client?

A) Medicaid is available to individuals once they reach the age of 65. B) Medicaid is intended to assist low-income individuals over the age of 65. C) Older adults are eligible for Medicaid if they are planning to enter a long-term care facility. D) Eligibility for Medicaid is based upon income, not age.

Nursing

Which of the following identify the signs and symptoms of basal cell cancer? (Select all that apply.)

a. Itching b. Reddish patch c. Starts from a nevi d. Various clinical forms—cystic, nodular, pigmented e. Macule type

Nursing

The nurse is teaching the family of a client a process that parallels the nursing process to use to make decisions for their loved one. What would be the second step in this process?

A) Realize the ambiguity of the situation that the adult is now like a child. B) Restate and clarify the family's perceptions and feelings. C) Verify the family's feelings and perceptions to be sure they understand the situation. D) Assist the family to create solutions for the problems presented.

Nursing

A nurse assesses a patient diagnosed with conversion (functional neurological) disorder. Which comment is most likely from this patient?

a. "Since my father died, I've been short of breath and had sharp pains that go down my left arm, but I think it's just indigestion." b. "I have daily problems with nausea, vomiting, and diarrhea. My skin is very dry, and I think I'm getting seriously dehydrated." c. "Sexual intercourse is painful. I pretend as if I'm asleep so I can avoid it. I think it's starting to cause problems with my marriage." d. "I get choked very easily and have trouble swallowing when I eat. I think I might have cancer of the esophagus."

Nursing