A client has the diagnosis of valley fever accompanied by ...

[Jramos095]

A client has the diagnosis of valley fever accompanied by myalgias and arthralgias. What treatment should the nurse educate the client on?
 
  a. Intravenous amphotericin B
  b. Long-term anti-inflammatories
  c. No specific treatment
  d. Oral fluconazole (Diflucan)

Question 2

A client is in the family practice clinic reporting a severe cough that has lasted for 5 weeks. The client is so exhausted after coughing that work has become impossible. What action by the nurse is most appropriate?
 
  a. Arrange for immediate hospitalization.
  b. Facilitate polymerase chain reaction testing.
  c. Have the client produce a sputum sample.
  d. Obtain two sets of blood cultures.

[aadams68]

Answer to Question 1

ANS: D
Valley fever, or coccidioidomycosis, is a fungal infection. Many people do not need treatment and the disease resolves on its own. However, the presence of joint and muscle pain indicates a moderate infection that needs treatment with antifungal medications. IV amphotericin is reserved for pregnant women and those with severe infection. Anti-inflammatory medications may be used to treat muscle aches and pain but are not used long term.

Answer to Question 2

ANS: B
Polymerase chain reaction testing is used to diagnose pertussis, which this client is showing manifestations of. Hospitalization may or may not be needed but is not the most important action. The client may or may not be able to produce sputum, but sputum cultures for this disease must be obtained via deep suctioning. Blood cultures will be negative.