Author Question: A patient has been taking itraconazole (Sporanox) for 3 months for a persistent fungal infection. ... (Read 45 times)

Mollykgkg · **on:** Jul 23, 2018

A patient has been taking itraconazole (Sporanox) for 3 months for a persistent fungal infection. The patient has nausea, vomiting, anorexia, fatigue, right upper abdominal pain, dark urine, and pale stools. The nurse would be correct to suspect

a. anemia.
b. renal failure.
c. sepsis.
d. liver injury.

Question 2

During a postpartum assessment, a nurse discovers a boggy uterus and increased vaginal bleeding. The patient has been unable to tolerate oxytocin or carboprost tromethamine (Hemabate). The nurse anticipates the administration of which drug?

a. Prostaglandin E
b. Ergonovine (Ergotrate)
c. Terbutaline (Brethine)
d. Clomiphene (Clomid)

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

Answer to Question 1

D
The nurse is correct to suspect liver injury, because these signs and symptoms are associated with liver dysfunction.
Nothing indicates the presence of anemia or renal failure.
The symptoms are not consistent with sepsis.

Answer to Question 2

B
The nurse should anticipate the administration of ergonovine, which is indicated for vaginal bleeding. Ergonovine is indicated in patients who are unable to tolerate oxytocin or carboprost tromethamine.
Neither prostaglandin E nor clomiphene is indicated in the treatment of vaginal bleeding.
Terbutaline is not indicated in the treatment of vaginal bleeding. It is used to delay preterm labor, although it has not been approved by the U.S. Food and Drug Administration (FDA) for this purpose.