This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A patient with histoplasmosis is being treated with itraconazole (Sporanox). The nurse will teach ... (Read 54 times)

futuristic

  • Hero Member
  • *****
  • Posts: 638
on: Jul 23, 2018
A patient with histoplasmosis is being treated with itraconazole (Sporanox). The nurse will teach this patient to report which symptoms?
 
  a. Gynecomastia and decreased libido
  b. Headache and rash
  c. Nausea, vomiting, and anorexia
  d. Visual disturbances

Question 2

A patient has a systemic candidal infection, and the provider has ordered oral fluconazole (Diflucan) 400 mg on day 1 and 200 mg once daily thereafter. What will the nurse do?
 
  a. Administer the drug as ordered.
  b. Contact the provider to discuss cutting the dosing in half.
  c. Contact the provider to discuss giving 400 mg on all days.
  d. Contact the provider to discuss giving the drug intravenously.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

janeli

  • Sr. Member
  • ****
  • Posts: 346
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: C
Itraconazole is associated with rare cases of liver failure, some of which were fatal. Patients should be instructed to reports signs of liver toxicity, including nausea, vomiting, and anorexia. Ketoconazole is associated with gynecomastia and libido changes. Headache and rash are associated with fluconazole. Visual disturbances may occur with voriconazole.

Answer to Question 2

ANS: A
The dosing for fluconazole for systemic candidal infections is 400 mg on the first day and 200 mg/day each day thereafter. Dosing for oral or esophageal candidal infections is half that for systemic infections. It is not correct to give 400 mg on all days of therapy. Fluconazole is as effective when given orally as it is when given intravenously.


futuristic

  • Hero Member
  • *****
  • Posts: 638
Reply #2 on: Jul 23, 2018
Both answers were spot on, thank you once again


janeli

  • Sr. Member
  • ****
  • Posts: 346
Reply #3 on: Jul 23, 2018
Great! Please up vote :D


« previous next »
 

Did you know?

Amphetamine poisoning can cause intravascular coagulation, circulatory collapse, rhabdomyolysis, ischemic colitis, acute psychosis, hyperthermia, respiratory distress syndrome, and pericarditis.

Did you know?

Since 1988, the CDC has reported a 99% reduction in bacterial meningitis caused by Haemophilus influenzae, due to the introduction of the vaccine against it.

Did you know?

Of the estimated 2 million heroin users in the United States, 600,000–800,000 are considered hardcore addicts. Heroin addiction is considered to be one of the hardest addictions to recover from.

Did you know?

When blood is exposed to air, it clots. Heparin allows the blood to come in direct contact with air without clotting.

Did you know?

Only one in 10 cancer deaths is caused by the primary tumor. The vast majority of cancer mortality is caused by cells breaking away from the main tumor and metastasizing to other parts of the body, such as the brain, bones, or liver.

Nurses possess a wide variety of experiences which they take into each patient encounter. Nurses possess a wide variety of experiences which they take into each patient encounter.
Nurse-patient interaction; nonverbal communication Nurse-patient interaction; nonverbal communication
Photo of the neck of a patient with non-Hodgkin’s lymphoma showing the swelling associated with enla Photo of the neck of a patient with non-Hodgkin’s lymphoma showing the swelling associated with enla
(A) A 62-year-old patient with myxedema exhibiting marked edema of the face and a somnolent look. Th (A) A 62-year-old patient with myxedema exhibiting marked edema of the face and a somnolent look. Th
Positioning the Patient in the Prone Position Positioning the Patient in the Prone Position
Video: Introduction to Breast Cancer

For a complete list of videos, visit our video library