Author Question: The client receives amphotericin B (Fungizone) for histoplasmosis. What does the best assessment by ... (Read 69 times)

go.lag · **on:** Jul 23, 2018

The client receives amphotericin B (Fungizone) for histoplasmosis. What does the best assessment by the nurse include?

1. Serum amylase
2. Serum sodium
3. Blood urea nitrogen
4. Serum glucose
5. Serum creatinine

Question 2

The client receives nystatin (Nilstat) for a fungal infection in the mouth. The nurse plans to do medication education prior to discharge. What will the best plan by the nurse include?

1. Dissolve the oral tablet in your mouth and then swallow it.
2. Take the oral suspension with a straw to prevent tooth discoloration.
3. Crush the oral tablet, mix it with orange juice, and then swallow it.
4. Swallow the oral tablet whole without chewing or crushing it.

huda · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 3,5
Rationale 1: Amphotericin B (Fungizone) does not affect serum amylase.
Rationale 2: Amphotericin B (Fungizone) does not affect serum sodium.
Rationale 3: Amphotericin B (Fungizone) is nephrotoxic, so serum creatinine and blood urea nitrogen should be monitored.
Rationale 4: Amphotericin B (Fungizone) does not affect serum glucose.
Rationale 5: Amphotericin B (Fungizone) is nephrotoxic, so serum creatinine and blood urea nitrogen should be monitored.

Answer to Question 2

Correct Answer: 1
Rationale 1: Dissolving the tablet in the mouth allows contact of the medication with the organisms causing the infection.
Rationale 2: The medication does not cause tooth discoloration.
Rationale 3: The medication must remain in the mouth as long as possible, so it should not be crushed and mixed with liquids.
Rationale 4: The medication must remain in the mouth as long as possible, so it should not be swallowed whole.