The nurse admits a 1-year-old child to the pediatric intensive care unit (ICU) with cryptococcal meningitis. What drug will the nurse anticipate receiving an order for to treat this child?
A) Amphotericin B (Fungizone)
B) Fluconazole (Diflucan)
C) Griseofulvin (Fulvicin)
D) Ketoconazole (Nizoral)
B
Feedback:
Fluconazole is used in the treatment of cryptococcal meningitis and is safe to use in a 1-year-old child. Amphotericin B has many unpleasant adverse effects and is very potent, so it would not be the first or best medication to administer initially but would be reserved for use if fluconazole was not effective. Griseofulvin is given to treat tinea pedis and tinea unguium in children. Ketoconazole is not given to children younger than 2 years because safety has not been established.
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A patient who is extremely upset after a confrontation with a family member is having a "fight or flight response." What effect will this have on the sympathetic nervous system?
A) Constriction of blood vessels in the heart muscle B) Constriction of bronchioles C) Increase in the secretion of sweat D) Constriction of pupils
When assessing a client's integumentary status, the nurse notes a 1.0-cm, red, nonpalpable lesion on the client's arm. This should be recorded as a:
a. papule. c. patch. b. nodule. d. macule.
Which is the purpose of the nursing health history?
1) To determine the patient's response to the health problem 2) To determine the extent of the health problem 3) To determine which medications are appropriate to alleviate the health problem 4) All of the above
The nurse would identify which of the following as an example of a strategy that represents fiscally responsible clinical nursing practice?
a. Begin discharge planning as soon as it is evident when a patient will be discharged. b. Encourage patients to consider being admitted the evening before a major surgical procedure. c. Use unlicensed personnel as much as possible in the delivery of nursing care. d. Accurately document the current status of a patient with regard to the patient's ongoing needs.