A patient about to start systemic antifungal therapy has a white blood cell (WBC) count of 3200 cells/mm3 . Which antifungal drug must be avoided for this patient?
a. fluconazole (Diflucan)
b. ketoconazole (Nizoral)
c. micafungin (Mycamine)
d. terbinafine (Lamisil)
D
This WBC count is lower than normal. Terbinafine and flucytosine (Ancobon) can further reduce this patient's WBC count and greatly increase his or her risk for infection.
You might also like to view...
Light palpation is done on the abdomen in order to
A) initially assess bowel sounds. B) identify muscular resistance and tenderness. C) locate organs (spleen, liver, and kidneys). D) assess for tremors, sensation, and perception.
Who is a leader?
A) Someone who is always trustworthy B) An individual who may be flawed C) Someone who always have good intentions D) One who is incompetent and will not be followed
The nurse is developing nursing diagnosis for a patient. Which health concerns would be appropriate for the nurse to identify as health maintenance problems? (Select all that apply.)
A) Prescribed medication to treat prostate cancer B) Instruction needed on newly prescribed renal diet C) Importance of having pneumococcal pneumonia vaccination D) Exercises for range of motion and mobility due to arthritis E) Schedule for hemodialysis to start three times each week
A patient's 4 ? 3-cm leg wound has a 0.4 cm black area in the center of the wound surrounded by yellow-green semiliquid material. Which dressing should the nurse apply to the wound?
a. Dry gauze dressing (Kerlix) b. Nonadherent dressing (Xeroform) c. Hydrocolloid dressing (DuoDerm) d. Transparent film dressing (Tegaderm)