The patient is being prescribed an antifungal medication after being diagnosed with oral thrush. Which drug would be an inappropriate selection for this patient?
a. Amphotericin B
b. Ketoconazole
c. Itraconazole
d. Fluconazole
ANS: A
Amphotericin B should not be used to treat noninvasive forms of fungal disease such as oral thrush, vaginal candidiasis, and esophageal candidiasis in patients with normal neutrophil counts.
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Which of the following nursing diagnoses would provide the most plausible indication for the use of epoetin alfa (Epogen) in a patient with renal failure?
A) Risk for infection related to decreased erythropoiesis B) Activity intolerance related to decreased oxygen-carrying capacity C) Powerlessness-related sequelae of renal failure D) Ineffective breathing pattern related to inadequate erythropoietin synthesis
Which ethnic groups have the highest incidence of suicide?
a. Native Americans and Hispanics b. Native Americans and Island Pacifiers c. Island Pacifiers and Alaskan Natives d. Island Pacifiers and Hispanics
The nurse is working with a client at a public health clinic. The client says to the nurse, "The doctor said that my CD4+ count is 450 . Is that good?" What is the nurse's best response?
a. "Your count is high so you can cut back on your medication." b. "Your count is normal because your me-dications are working well." c. "Your count is a bit low and you are sus-ceptible to infection." d. "Your count is very low and you actually now have AIDS."
When caring for a patient who requires comfort and attention, the student nurse understands that in the "NCLEX hospital," the nurse must do which of the following?
a. Stay with the patient and allow him to express his feelings. b. Stay with the patient but be sure to multitask with the charge nurse to control the care of the other patients. c. Explain to the patient that you have other patients to care for. d. Assign a UAP to sit with the patient.