Author Question: A client on long-term therapy with itraconazole (Sporanox) for treatment of a nail fungus is ... (Read 118 times)

jman1234

  • Hero Member
  • *****
  • Posts: 560
A client on long-term therapy with itraconazole (Sporanox) for treatment of a nail fungus is admitted to the hospital with right upper quadrant pain, nausea, and abdominal pain.
 
  Which laboratory results found in the medical record would support the diagnosis of hepatotoxicity?
  1. Elevated liver function tests
  2. Elevated creatinine levels
  3. Decreased blood sugar
  4. Decreased prothrombin time

Question 2

Which clinical manifestation would the nurse identify as an allergic reaction?
 
  1. Urticaria
  2. Photosensitivity
  3. Abdominal cramping
  4. Complaints of diarrhea



debra928

  • Sr. Member
  • ****
  • Posts: 342
Answer to Question 1

Correct Answer: 1
Rationale 1: Elevated liver function tests, which include the enzymes ALT and AST, are indicative of liver inflammation and/or impaired function of the liver.
Rationale 2: Elevated creatinine levels are indicative of impaired renal function.
Rationale 3: A decreased blood sugar indicates hypoglycemia, which has many causes, but is not related to hepatotoxicity.
Rationale 4: Impaired liver function would cause an increased or prolonged prothrombin time.
Global Rationale: Elevated liver function tests, which include the enzymes ALT and AST, are indicative of liver inflammation and/or impaired function of the liver. Elevated creatinine levels are indicative of impaired renal function. A decreased blood sugar indicates hypoglycemia, which has many causes, but is not related to hepatotoxicity. Impaired liver function would cause an increased or prolonged prothrombin time.

Answer to Question 2

Correct Answer: 1
Rationale 1: Urticaria, or hives, is indicative of an allergic response to a medication.
Rationale 2: Photosensitivity is a predictable side effect of some medications.
Rationale 3: Abdominal cramping could be a side effect or adverse effect of medications.
Rationale 4: Diarrhea is a common side effect of many medications.
Global Rationale: Urticaria, or hives, is indicative of an allergic response to a medication. Photosensitivity is a predictable side effect of some medications. Abdominal cramping could be a side effect or adverse effect of medications. Diarrhea is a common side effect of many medications.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question


 

Did you know?

Signs and symptoms of a drug overdose include losing consciousness, fever or sweating, breathing problems, abnormal pulse, and changes in skin color.

Did you know?

Anesthesia awareness is a potentially disturbing adverse effect wherein patients who have been paralyzed with muscle relaxants may awaken. They may be aware of their surroundings but unable to communicate or move. Neurologic monitoring equipment that helps to more closely check the patient's anesthesia stages is now available to avoid the occurrence of anesthesia awareness.

Did you know?

Cocaine was isolated in 1860 and first used as a local anesthetic in 1884. Its first clinical use was by Sigmund Freud to wean a patient from morphine addiction. The fictional character Sherlock Holmes was supposed to be addicted to cocaine by injection.

Did you know?

Hip fractures are the most serious consequences of osteoporosis. The incidence of hip fractures increases with each decade among patients in their 60s to patients in their 90s for both women and men of all populations. Men and women older than 80 years of age show the highest incidence of hip fractures.

Did you know?

Though methadone is often used to treat dependency on other opioids, the drug itself can be abused. Crushing or snorting methadone can achieve the opiate "rush" desired by addicts. Improper use such as these can lead to a dangerous dependency on methadone. This drug now accounts for nearly one-third of opioid-related deaths.

For a complete list of videos, visit our video library