Which precautions are important to teach a woman using a vaginal cream form of an antifungal drug? (Select all that apply.)
a. Wear gloves to insert the cream.
b. Wash the applicator with soap and water.
c. Do not tub bathe until treatment is completed.
d. Avoid sexual intercourse during the treatment period.
e. Remind the patient that the cream can make holes in a condom or diaphragm.
f. Stop the drug immediately if you think you are pregnant.
g. Stop the drug when symptoms have disappeared to avoid unnecessary exposure to it.
B, D, E
Sexual intercourse should be avoided for several reasons: the drug can make holes in a condom or diaphragm and increase the risk for an unplanned pregnancy; in addition, the infection can be spread to a sexual partner. The applicator should be washed regularly with soap and water after each use. Although hands should be washed before and after applying the drug, the vagina is not a sterile body cavity, so it is not necessary to wear gloves during the application. There are no bathing restrictions while using the drug. Vaginal application of the drug does not affect preg-nancy (however, a vaginal infection can have adverse effects on the pregnancy). To ensure era-dication of the infection and prevent the development of resistant organisms, the drug should be used for as long as prescribed even after symptoms are no longer present.
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You are a case manager working with a patient newly admitted to a rehabilitation facility. When developing a care plan for this older adult, which factors should the nurse consider as being positive in this age group?
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The nurse administers a narcotic by intramuscular injection for postoperative pain. How much time does the nurse use to estimate the expected time of pain relief for the client?
1. 5 minutes 2. 15 minutes 3. 30 minutes 4. 60 minutes