Author Question: The client has a fungal infection of the toenails and receives oral terbinafine (Lamisil). The ... (Read 23 times)

mydiamond · **on:** Jul 23, 2018

The client has a fungal infection of the toenails and receives oral terbinafine (Lamisil). The client asks the nurse how a pill will heal his nail infection. What is the best response by the nurse?

1. The medication accumulates in your nail beds and is there for many months.
2. The medication should be combined with a topical agent to increase effectiveness.
3. The medication works by destroying toxins excreted by the fungi in your nails.
4. The medication works by destroying circulating fungi in your blood.

Question 2

The client is noncompliant with taking medications to prevent malaria prior to an overseas business trip. What will the best assessment by the nurse reveal?

1. The taste of the various tablets was really too offensive to the client.
2. The medication dosing was too frequent for the client to tolerate.
3. The cost of the medications was too high for the client's budget.
4. The side effects of vomiting and diarrhea were too uncomfortable.

sarajane1989 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1
Rationale 1: Terbinafine (Lamisil) is an oral agent that has the advantage of accumulating in nail beds, allowing it to remain active many months after therapy is discontinued.
Rationale 2: Terbinafine (Lamisil) does not need to be combined with a topical agent.
Rationale 3: Terbinafine (Lamisil) does not destroy toxins excreted by fungi.
Rationale 4: Terbinafine (Lamisil) does not destroy circulating fungi in the blood.

Answer to Question 2

Correct Answer: 4
Rationale 1: The medication is not coated, but the taste is not a significant factor.
Rationale 2: Usually the dosing is once weekly or once daily; it is not too frequent for a client to tolerate.
Rationale 3: The cost of the medication is not a factor; generic forms are available.
Rationale 4: Side effects, such as vomiting and diarrhea, can be severe after taking the medication.