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 amphotericin
The nurse understands that the rationale for this combination is that it:
a. broadens the antifungal spectrum.
b. improves the effectiveness of the amphotericin B.
c. lowers the dose of amphotericin B and reduces toxicity.
d. treats fungal central nervous system (CNS) infection.
ANS: 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 amphotericin. By allowing a reduced dose of amphotericin, the combination also reduces the risk of amphotericin-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 child recently smashed his bicycle, and the mother wonders how she should handle him. The nurse would suggest: 1. Spanking him when he displays this behavior because he knows better. 2. Not replacing the bike and explaining to him that when he breaks something, it will not be replaced. 3. When the child gets angry, the mother will need to yell at the child in order for the child to hear her response. 4. Discussing the child's behavior with the pediatrician so that the child can be placed on mood-altering medications.
A client is receiving IV caspofungin (Cancidas) for a severe Candida infection. During an infusion of the dose, the nurse notes a reddened area along the vein tract, and the client complains of pain. What is the highest priority nursing intervention?
a. Stop the infusion. b. Speed up the infusion. c. Administer an analgesic during the infusion. d. Elevate the infusion extremity above the heart.
A person states, "I feel as though I'm really a woman trapped in this male body.". This type of statement is characteristically expressed by someone who is a:
a. transsexual. b. transvestite. c. pedophile. d. homosexual.
A communication system developed originally to address communication patterns in critical situations is:
a. VERA framework. b. NVC model. c. crucial conversations. d. TeamSTEPPS.