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Author Question: A patient will begin taking an immunosuppressant medication. The nurse learns that the patient has a ... (Read 43 times)

audragclark

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on: Jul 23, 2018
A patient will begin taking an immunosuppressant medication. The nurse learns that the patient has a history of frequent candidal infections. The nurse will expect the provider to order which drug as prophylaxis?
 
  a. Fluconazole Diflucan
  b. Ketoconazole
  c. Posaconazole Noxafil
  d. Voriconazole Vfend

Question 2

The nurse is preparing to administer amphotericin B intravenously. The nurse will expect to pretreat the patient with which medications?
 
  a. Acetaminophen Tylenol, diphenhydra-mine Benadryl, and meperidine Deme-rol
  b. Aspirin, diphenhydramine Benadryl, and meperidine Demerol
  c. Ibuprofen Motrin, diphenhydramine Benadryl, and meperidine Demerol
  d. Morphine sulphate Morphine and ace-taminophen Tylenol


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kmb352

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Reply #1 on: Jul 23, 2018
Answer to Question 1

C
Posaconazole is used as prophylaxis for invasive Aspergillus and Candida infections in immu-nocompromised patients. Fluconazole, ketoconazole, and voriconazole are not used prophylacti-cally.

Answer to Question 2

A
Optimum pretreatment before the administration of amphotericin B comprises acetaminophen, diphenhydramine, and meperidine (for rigors). Motrin is not suggested as pretreatment. Aspirin is an option, but it may increase kidney damage. Morphine is not indicated in the pretreatment regimen.


audragclark

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Reply 2 on: Jul 23, 2018
Excellent

cassie_ragen

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Reply 3 on: Yesterday
Great answer, keep it coming :)

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