The nurse admits a patient suspected of having a fungal infection. What action will the nurse need to take before a systemic antifungal can be prescribed? (Select all that apply.)
A) Initiate IV therapy.
B) Assess history of liver or kidney disease.
C) Obtain a culture of the fungus.
D) Request the patient sign a consent form.
E) Assess history of lymphatic disease.
B, C
Feedback:
The nurse would assess the patient for history of liver or kidney disease because systemic antifungals carry a higher risk of adverse effects and toxicity in patients with disease of these organs. A culture to determine the type of fungus should also be performed to increase the likelihood of the correct medication being prescribed. Not all antifungals are administered IV so this may not be necessary and would not be initiated until a drug was prescribed. A consent form is not needed by most facilities. History of lymphatic disease would not be associated with concern related to antifungal medications.
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Why is understanding family heritage important?
A. Knowing the methods of socialization that were passed down among families can explain social behaviors today. B. It provides answers to questions regarding why family members behaved as they did. C. New traditions can be discovered to be incorporated into daily life. D. Health practices can be altered as a result of understanding heritage.
A client arrives at the orthopedic clinic and informs the nurse that he thinks he has another stress fracture of the right foot. The physician orders an x-ray with negative results
What does the nurse understand that these negative results can mean? A) The client does not have a stress fracture. B) The client probably has a strain. C) The stress fracture may not be seen on x-ray for a few weeks. D) The physician may have misread the x-ray.
Culture of client's vaginal discharge reveals Gardnerella vaginalis. Which of the following would the nurse expect to assess?
A) Foul foamy discharge B) Thick curdy white discharge C) Fishy smelling watery discharge D) Yellowish white discharge
When the nurse is alone with a battered patient, the patient seems extremely anxious and says, "It was all my fault. The house was so messy when he got home and I know he hates that." The best response by the nurse is
a. "No one deserves to be hurt. It's not your fault. How can I help you?" b. "What else do you do that makes him angry enough to hurt you?" c. "He will never find out what we talk about. Don't worry. We're here to help you." d. "You have to remember that he is frustrated and angry so he takes it out on you."