Author Question: A client on long-term therapy with itraconazole (Sporanox) for treatment of a nail fungus is ... (Read 133 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?

Urine turns bright yellow if larger than normal amounts of certain substances are consumed; one of these substances is asparagus.

Did you know?

More than 34,000 trademarked medication names and more than 10,000 generic medication names are in use in the United States.

Did you know?

Fungal nail infections account for up to 30% of all skin infections. They affect 5% of the general population—mostly people over the age of 70.

Did you know?

Vampire bats have a natural anticoagulant in their saliva that permits continuous bleeding after they painlessly open a wound with their incisors. This capillary blood does not cause any significant blood loss to their victims.

Did you know?

Immunoglobulin injections may give short-term protection against, or reduce severity of certain diseases. They help people who have an inherited problem making their own antibodies, or those who are having certain types of cancer treatments.

For a complete list of videos, visit our video library