N316A – Adult Health Nursing – Infections Quiz 4 Questions and Answers
The critical care nurse is administering intravenous Anidulafungin to a pt for the treatment of
candidemia. The pt's blood urea nitrogen and creatinine levels have been rising in recent days
due to adverse effects of other meds. What is the nurse's best action?
A) Administer the medication as prescribed because it is not excreted renally
B) Confirm the route with the provider
C) Confirm the drug with the provider
D) Hold the medication pending the provider's reassessment of the pt A) Administer the
medication as prescribed because it is not excreted renally
A nurse who provides care on a medical unit is reviewing the use of topical antifungal agents.
The nurse should recognize what characteristic of these meds?
A) The drugs can be used for an indefinite period of time as long as the pt is not allergic
B) The drugs are often too toxic for systemic administration
C) Application site reactions rarely occur with topical application
D) These drugs are associated with significant drug-drug interactions B) The drugs are often
too toxic for systemic administration
The pt is receiving Ketoconazole. The nurse should be concerned about a drug-drug interaction
based on what other comorbidity?
A) Chronic pain
B) Type 2 diabetes
C) Penicillin allergy
D) Venous ulcers B) Type 2 diabetes
A pt is receiving Gentian Violet as topical treatment for a fungal infection. What instruction
should the nurse include in the teaching plan?
A) This medication can stain your skin and clothing
,B) Cover the area with plastic wrap to seal it off
C) Apply a thin layer of the medicine to any open areas on your skin
D) Take this medicine with food to minimize upset stomach A) This medication can stain
your skin and clothing
A pt with a cutaneous fungal infection has been prescribed Naftifine. When reviewing the
prescriber's instructions, what should the nurse explain to the pt?
A) Make sure you don't use this for more than 1 month
B) Make sure to avoid taking any corticosteroid medications while you're on this drug
C) It's important to stay out of the sun until you've finished treatment
D) If your schedule allows it, apply the ointment four or five times a day A) Make sure you
don't use this for more than 1 month
A pt is treating a skin mycosis with a topical antifungal agent in troche form. The nurse would
alert the pt to what possible adverse effect?
A) Rash
B) Burning on urination
C) Urinary frequency
D) Nausea D) Nausea
A pt with recurrent vaginal yeast infections is to receive Tioconazole. The nurse should instruct
the pt to do what?
A) Use the powder as needed
B) Insert a full applicator at bedtime only once
C) Apply the cream to the area twice daily
D) Insert the suppository for at least 3 consecutive days B) Insert a full applicator at bedtime
only once
,A pt is diagnosed with a Candida infection of the mouth, which the nurse documents as what?
A) Dermatophytes
B) Thrush
C) Tinea cruris
D) Ringworm B) Thrush
A 3 yr old child has signs and symptoms of a systemic fungal infection and the provider intends
to prescribe an oral antifungal. Which medication has the option of being administered as a
sprinkle formulation?
A) Flucytosine
B) Griseofulvin
C) Nystatin
D) Terbinafine D) Terbinafine
The nurse is caring for a pt who has been prescribed Micafungin 150 mg IV daily. What
assessment should the nurse prioritize in this pt's care?
A) inspection of the pt's mouth and throat
B) Temperature monitoring
C) Assessment of the pt's perineal skin
D) Inspection of the pt's scalp A) inspection of the pt's mouth and throat
The nurse is caring for a pt diagnosed with a life-threatening systemic fungal infection that is
not responding to treatment with an azole. What medication should the nurse anticipate the
provider may order next?
A) Terbinafine
B) Butenafine
C) Amphotericin B
, D) Nystatin C) Amphotericin B
The nurse is teaching peers about fungal infections and describes the cell membrane of a fungal
cell:
A) Has a soft cell wall
B) Contains monosaccharides
C) Contains mycosis
D) Contains ergosterol D) Contains ergosterol
SATA. When caring for a pt receiving Amphotericin B, the nurse includes what assessments in
the plan of care?
A) Oxygen saturation
B) Reflexes
C) Orientation
D) Liver function
E) Renal function
F) Vision B) Reflexes
C) Orientation
D) Liver function
E) Renal function
True or False: the incidence of fungal infections has recently dropped due to the advances in
drug therapy. False
True or False: Terbinafine is a better choice for pts who need to take medications that are
metabolized by the CYP 2D6 enzyme system. False
The critical care nurse is administering intravenous Anidulafungin to a pt for the treatment of
candidemia. The pt's blood urea nitrogen and creatinine levels have been rising in recent days
due to adverse effects of other meds. What is the nurse's best action?
A) Administer the medication as prescribed because it is not excreted renally
B) Confirm the route with the provider
C) Confirm the drug with the provider
D) Hold the medication pending the provider's reassessment of the pt A) Administer the
medication as prescribed because it is not excreted renally
A nurse who provides care on a medical unit is reviewing the use of topical antifungal agents.
The nurse should recognize what characteristic of these meds?
A) The drugs can be used for an indefinite period of time as long as the pt is not allergic
B) The drugs are often too toxic for systemic administration
C) Application site reactions rarely occur with topical application
D) These drugs are associated with significant drug-drug interactions B) The drugs are often
too toxic for systemic administration
The pt is receiving Ketoconazole. The nurse should be concerned about a drug-drug interaction
based on what other comorbidity?
A) Chronic pain
B) Type 2 diabetes
C) Penicillin allergy
D) Venous ulcers B) Type 2 diabetes
A pt is receiving Gentian Violet as topical treatment for a fungal infection. What instruction
should the nurse include in the teaching plan?
A) This medication can stain your skin and clothing
,B) Cover the area with plastic wrap to seal it off
C) Apply a thin layer of the medicine to any open areas on your skin
D) Take this medicine with food to minimize upset stomach A) This medication can stain
your skin and clothing
A pt with a cutaneous fungal infection has been prescribed Naftifine. When reviewing the
prescriber's instructions, what should the nurse explain to the pt?
A) Make sure you don't use this for more than 1 month
B) Make sure to avoid taking any corticosteroid medications while you're on this drug
C) It's important to stay out of the sun until you've finished treatment
D) If your schedule allows it, apply the ointment four or five times a day A) Make sure you
don't use this for more than 1 month
A pt is treating a skin mycosis with a topical antifungal agent in troche form. The nurse would
alert the pt to what possible adverse effect?
A) Rash
B) Burning on urination
C) Urinary frequency
D) Nausea D) Nausea
A pt with recurrent vaginal yeast infections is to receive Tioconazole. The nurse should instruct
the pt to do what?
A) Use the powder as needed
B) Insert a full applicator at bedtime only once
C) Apply the cream to the area twice daily
D) Insert the suppository for at least 3 consecutive days B) Insert a full applicator at bedtime
only once
,A pt is diagnosed with a Candida infection of the mouth, which the nurse documents as what?
A) Dermatophytes
B) Thrush
C) Tinea cruris
D) Ringworm B) Thrush
A 3 yr old child has signs and symptoms of a systemic fungal infection and the provider intends
to prescribe an oral antifungal. Which medication has the option of being administered as a
sprinkle formulation?
A) Flucytosine
B) Griseofulvin
C) Nystatin
D) Terbinafine D) Terbinafine
The nurse is caring for a pt who has been prescribed Micafungin 150 mg IV daily. What
assessment should the nurse prioritize in this pt's care?
A) inspection of the pt's mouth and throat
B) Temperature monitoring
C) Assessment of the pt's perineal skin
D) Inspection of the pt's scalp A) inspection of the pt's mouth and throat
The nurse is caring for a pt diagnosed with a life-threatening systemic fungal infection that is
not responding to treatment with an azole. What medication should the nurse anticipate the
provider may order next?
A) Terbinafine
B) Butenafine
C) Amphotericin B
, D) Nystatin C) Amphotericin B
The nurse is teaching peers about fungal infections and describes the cell membrane of a fungal
cell:
A) Has a soft cell wall
B) Contains monosaccharides
C) Contains mycosis
D) Contains ergosterol D) Contains ergosterol
SATA. When caring for a pt receiving Amphotericin B, the nurse includes what assessments in
the plan of care?
A) Oxygen saturation
B) Reflexes
C) Orientation
D) Liver function
E) Renal function
F) Vision B) Reflexes
C) Orientation
D) Liver function
E) Renal function
True or False: the incidence of fungal infections has recently dropped due to the advances in
drug therapy. False
True or False: Terbinafine is a better choice for pts who need to take medications that are
metabolized by the CYP 2D6 enzyme system. False
