A patient asks the nurse if he or she should use a topical ...

[neverstopbelieb]

A patient asks the nurse if he or she should use a topical antifungal. The nurse is aware that the most important contraindication to topical antifungals is what?
 
  A) Hepatic impairment
  B) Renal impairment
  C) Congestive heart failure
  D) Known allergy to any of the antifungal drugs

Question 2

A patient who has a tinea infection calls the clinic and complains of intense local burning and irritation with use of a topical antifungal drug. Even before asking the patient, the nurse suspects he or she is applying what medication?
 
  A) Butoconazole (Gynazole I)
  B) Ciclopirox (Loprox)
  C) Econazole (Spectazole)
  D) Haloprogin (Halotex)

[mcni194]

Answer to Question 1

D
Feedback:
Topical antifungals are not absorbed systemically so they are not metabolized and excreted. As a result, the only contraindication would be an allergy to the drug. Hepatic and renal impairment and congestive heart failure would not be a contraindication because these drugs do not enter the bloodstream and impact these organ systems.

Answer to Question 2

C
Feedback:
Econazole can cause intense local burning and irritation in treatment of tinea infections. Butoconazole is used to treat vaginal Candida infections. Ciclopirox is used to treat toenail and fingernail tinea infections and does not produce intense burning and irritation. Haloprogin is used to treat athlete's foot, jock itch, and ringworm infections and is not associated with burning or irritation.

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