stinky jinky Flashcards
During an intravenous (IV) infusion of amphotericin B, a patient develops tingling and numbness in his toes and fingers. What will the nurse do first?
Discontinue the infusion immediately.
If a patient is taking fluconazole (Diflucan) with an oral anticoagulant, the nurse will monitor for which possible interaction?
Increased effects of oral anticoagulants
The nurse is preparing an infusion of amphotericin B for a patient who has a severe fungal infection. Which intervention is appropriate regarding the potential adverse effects of amphotericin B?
Before beginning the infusion, administering an antipyretic and an antiemetic drug
The nurse is administering one of the lipid formulations of amphotericin B. When giving this drug, which concept is important to remember?
The lipid formulations are associated with fewer adverse effects than the older drugs.
The nurse is reviewing instructions for vaginal antifungal drugs with a patient. Which statement by the nurse is an appropriate instruction regarding these drugs?
“Abstain from sexual intercourse until the treatment has been completed and the infection has resolved.”
A patient is infected by invasive aspergillosis, and the medical history reveals that the patient has not been able to tolerate several antifungal drugs. The nurse anticipates an order for which medication to treat this infection?
Caspofungin (Cancidas)
A patient with a severe fungal infection has orders for voriconazole (Vfend). The nurse is reviewing the patient’s medical record and would be concerned if which assessment finding is noted?
History of cardiac dysrhythmias
During therapy with amphotericin B, the nurse will monitor the patient for known adverse effects that would be reflected by which laboratory result?
Serum potassium level of 2.7 mEq/L
A patient has received a prescription for a 2-week course of antifungal suppositories for a vaginal yeast infection. She asks the nurse if there is an alternative to this medication, saying, “I don’t want to do this for 2 weeks!” Which is a possibility in this situation?
A single dose of a fluconazole (Diflucan) oral tablet.
A patient is taking nystatin (Mycostatin) oral lozenges to treat an oral candidiasis infection resulting from inhaled corticosteroid therapy for asthma. Which instruction by the nurse is appropriate?
“Let the lozenge dissolve slowly and completely in your mouth without chewing it.”
The nurse is administering an amphotericin B infusion. Which actions by the nurse are appropriate? (Select all that apply.)
Discontinuing the drug immediately if the patient develops tingling and numbness in the extremities
Using an infusion pump for IV therapy
Monitoring the IV site for signs of phlebitis and infiltration
Administering premedication for fever and nausea
