What drug would the nurse administer orally without the need to ...

[swpotter12]

What drug would the nurse administer orally without the need to question when treating infections caused by Candida albicans?
 
  A) Amphotericin B (Abelcet)
  B) Tolnaftate (Tinactin)
  C) Griseofulvin (Fulvicin)
  D) Fluconazole (Diflucan)

Question 2

A patient comes to the mental health clinic for a regular appointment. The patient tells the nurse he has been taking oral fluoxetine (Prozac) 20 mg daily for the past 3 weeks and that he has lost 3 pounds during that time due to a loss of appetite.
 
  What action should the nurse take? A) Teaching the patient about healthy eating to maintain weight
  B) Congratulating the patient on his weight loss and commenting how well he looks
  C) Encouraging the patient to increase fluid intake to avoid further weight loss
  D) Reassuring the patient that a decrease in weight is a common adverse effect with this medication

[tranoy]

Answer to Question 1

D
Feedback:
Fluconazole is available for oral use and is effective in treating C. albicans. Amphotericin B is reserved for severe and potentially fatal infections, so it would not be used for a C. albicans infection. Tolnaftate is used to treat athlete's foot and is applied topically, not given orally. Griseofulvin is applied topically and is used to treat tinea, not C. albicans.

Answer to Question 2

D
Feedback:
Adverse effects of fluoxetine include anorexia and weight loss. Although teaching about healthy eating is a good idea, it is more important to teach the patient how to take the medication in a way that will reduce adverse effects as well as how to optimize healthy calories to maintain weight. The patient should increase caloric intake, not just fluid intake. The patient should continue the medication to see whether therapeutic effects are obtained and adjust nutritional intake if necessary. More information about the patient's baseline weight is needed before congratulating the patient because a patient who is already too thin would not appreciate the nurse's comment.

[swpotter12]

Gracias!

[Alyson.hiatt@yahoo.com]

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