A patient was diagnosed with tinea corporis and given topical ...

[kfurse]

A patient was diagnosed with tinea corporis and given topical ketoconazole. The patient tells the primary care nurse practitioner (NP) that the infection is not getting better. The NP should:
 
  a. prescribe griseofulvin.
  b. prescribe oral ketoconazole.
  c. obtain a culture of the infection site.
  d. recommend 3 more weeks of treatment with the topical medication.

Question 2

A patient who has been taking medications to treat TB tells the primary care NP that the infectious disease specialist has added ethambutol to the drug regimen. The patient asks the NP for information about this drug.
 
  The NP should explain that this drug: a. should be taken 1 hour before or 2 hours after a meal.
  b. should not be taken by patients who have renal impairment.
  c. requires more frequent monitoring of LFTs.
  d. means the patient will need regular vision examinations and evaluation of color vision.

[manuelcastillo]

Answer to Question 1

C
If infection is unresponsive to empirical therapy, cultures must be obtained to confirm the diagnosis and rule out resistant organisms. This should be done before changing treatment.

Answer to Question 2

D
Ethambutol can cause changes in vision, including red-green color blindness. It should be taken with food. It may be taken by patients with renal impairment with adjustment of doses.

[kfurse]

TYSM

[at]

Thanks for the timely response, appreciate it