Author Question: A patient has been receiving amphotericin B (Fungizone) for systemic mycoses. The nurse most likely ... (Read 101 times)

maychende · **on:** Jul 23, 2018

A patient has been receiving amphotericin B (Fungizone) for systemic mycoses. The nurse most likely would monitor for which signs and symptoms in this patient?

a. Liver function tests
b. Kidney function
c. Tinnitus
d. Hyperkalemia

Question 2

A 6-year-old girl is brought to the emergency department. Upon assessment of the patient, the nurse finds swollen, tender buboes and enlarged genitalia. The nurse understands that these findings are consistent with

a. gonorrhea.
b. bubonic plague.
c. syphilis.
d. lymphogranuloma venereum.

IRincones · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: B
The nurse should monitor kidney function, because amphotericin B is nephrotoxic.
Nothing indicates a need to monitor liver enzymes.
Tinnitus is not an expected adverse effect.
Hypokalemia is a possibility, but hyperkalemia is not anticipated.

Answer to Question 2

ANS: D
Swollen, tender buboes and enlarged genitalia are consistent with lymphogranuloma venereum.
Signs and symptoms of gonorrhea range from mild cervicitis to burning upon urination, cutaneous lesions, and others.
Nothing indicates that this child has been exposed to bubonic plague, which is not typically (if ever) seen in the United States.
Syphilis manifests in various stages; chancres develop, and nearby lymph nodes may become swollen. However enlarged genitalia is not a symptom.