An infant is prescribed fluconazole (Diflucan) for treatment of ...

[SGallaher96]

An infant is prescribed fluconazole (Diflucan) for treatment of infant oral candidiasis or thrush. Which information should the nurse provide to the infant's caregiver in regard to this medication?
 
  1. Give the medication right before a feeding.
  2. Give the infant a small amount of water prior to administering the medication.
  3. Use a dosage syringe to place medication in several parts of the infant's mouth.
  4. The infant should not breastfeed until this infection is gone.
  5. The breastfeeding mother may also require treatment.

Question 2

The mechanism of action of systemic antifungal agents is to
 
  1. interfere with the synthesis of ergosterol in the fungal cell membrane.
  2. bind to toxic levels of parasite in the red blood cells.
  3. bind to steroids in the fungal cell membrane.
  4. kill fungal growth.

[Mochi]

Answer to Question 1

Correct Answer: 2,3,5
Rationale 1: The medication should be given after feeding.
Rationale 2: The medication will be more effective if milk sugars and proteins in the mouth are rinsed away prior to administration.
Rationale 3: The infant cannot swish and swallow so a syringe is used to distribute the medication around the mouth.
Rationale 4: There is no prohibition against breastfeeding.
Rationale 5: This treatment may be necessary to prevent re-transmission.

Answer to Question 2

Correct Answer: 1
Rationale 1: Systemic antifungal agents interfere with the synthesis of ergosterol in the fungal cell membrane, causing them to become permeable.
Rationale 2: Antiprotozoal drugs bind to toxic levels of parasite in the red blood cells.
Rationale 3: Superficial fungal agents bind to sterols in the fungal cell membrane, allowing leakage of contents.
Rationale 4: None of these agents will kill the fungal growth.

[SGallaher96]

Thank you!

[Mochi]

Always glad to help...