A patient is being treated with amphotericin B [Abelcet] for a systemic fungal infection. After several weeks of therapy, the provider orders flucytosine [Ancobon] in addition to the amphote-ricin
The nurse understands that the rationale for this combination is that it: a. broadens the antifungal spectrum.
b. improves the effectiveness of the ampho-tericin B.
c. lowers the dose of amphotericin B and reduces toxicity.
d. treats fungal central nervous system (CNS) infection.
C
Amphotericin potentiates the antifungal actions of flucytosine, and combining flucytosine with low-dose amphotericin can produce antifungal effects equivalent to those of high-dose amphote-ricin. By allowing a reduced dose of amphotericin, the combination also reduces the risk of am-photericin-induced toxicity. Flucytosine does not affect the effectiveness of amphotericin. The combination does not broaden the antifungal spectrum or alter the ability to treat CNS infections.
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The nurse working in the Emergency Department admits a woman who states she has been raped. The nurse's priority of care includes:
1. Assist the woman to bathe to remove the dirty feeling she reports. 2. Have the woman tested for blood alcohol level. 3. Provide emotional support. 4. Ask the woman to explain exactly what happened.
Childbirth preparation offers several advantages including which of the following? Note: Credit will be given only for all correct choices and no incorrect choices. Select all that apply
1. It helps a pregnant woman and her support person understand the choices in the birth setting. 2. It promotes awareness of available options. 3. It provides tools for a pregnant woman and her support person to use during labor and birth. 4. Women who receive continuous support during labor require more analgesia, and have more cesarean and instrument births. 5. Each method has been shown to shorten labor.
Two nurses are discussing a client's condition in an elevator full of visitors. With what crime might the nurses be charged?
A) Defamation of character B) Invasion of privacy C) Unintentional negligence D) Intentional negligence
A client in anaphylactic shock receives a dose of hydrocortisone (Solu-Cortef). The nurse recognizes that the desired action of this medication is to:
1. raise serum oncotic pressure. 2. inhibit the inflammatory process. 3. stimulate the sympathetic nervous system. 4. raise circulating glucose levels.