A client receiving which of the following medications would the nurse identify as being at increased risk for candidal infections?

Antihypertensive therapy.

Antibiotics.

BetaBlockers.

Diuretics.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Antihypertensive therapy. Rationale: Antihypertensive medications are used to manage high blood pressure. While they may have some side effects, they do not significantly increase the risk of candidal infections. Candidal infections are primarily caused by an overgrowth of Candida, a type of yeast, and are often associated with factors that disrupt the body's normal microbial balance. Antihypertensive drugs do not directly affect the body's susceptibility to candidal infections.

Choice B rationale:

Antibiotics. Rationale: Antibiotics are known to disrupt the normal microbial balance in the body, including the balance of bacteria and yeast. This disruption can lead to an overgrowth of Candida and an increased risk of candidal infections. Antibiotics kill not only harmful bacteria but also beneficial bacteria that help keep Candida in check. This imbalance can result in candidal overgrowth, causing infections such as oral thrush or vaginal yeast infections.

Choice C rationale:

BetaBlockers. Rationale: Beta-blockers are a class of medications commonly used to treat conditions like hypertension, angina, and arrhythmias. They work by blocking the effects of adrenaline, primarily on the heart. While beta-blockers have various side effects, including potential impacts on blood sugar and lipid levels, they do not significantly increase the risk of candidal infections. Candidal infections are more closely associated with medications that disrupt the microbial balance in the body.

Choice D rationale:

Diuretics. Rationale: Diuretics are medications that promote diuresis or increased urine production. They are used to manage conditions such as hypertension, heart failure, and edema. Diuretics primarily affect fluid balance in the body and do not directly increase the risk of candidal infections. While diuretics may lead to electrolyte imbalances, they are not associated with candidal overgrowth. Candidal infections are more often linked to antibiotics or immunosuppressive medications.

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Correct Answer is C

Explanation

Choice A rationale:

Laxatives are generally contraindicated in clients with chronic hepatitis due to potential liver-related complications. However, this choice is not directly related to the use of laxatives.

Choice B rationale:

Laxatives may be used with caution in clients with type 1 diabetes to manage constipation. While there are considerations related to blood sugar control, it is not an absolute contraindication.

Choice D rationale:

Laxatives can be used in clients with cardiac disease, although some types of laxatives may be safer than others. This choice does not represent a contraindication.

A. Prevents the incidence of liver dysfunction. B. Slows down bacterial resistance. C. Slows the body's resistance to medication. D. Prevents further spreading of TB.

Correct Answer is B

Explanation

Choice A rationale:

Administering a combination of drugs in TB treatment is not primarily aimed at preventing the incidence of liver dysfunction. The combination therapy's main objective is to address the complex nature of Mycobacterium tuberculosis infections and the potential development of antibiotic resistance.

Choice B rationale:

The nurse should explain that the primary reason for administering a combination of drugs is to slow down bacterial resistance. When TB is treated with a single drug, the bacteria can quickly develop resistance to that drug. Using a combination of drugs with different mechanisms of action makes it more difficult for the bacteria to develop resistance. This is a fundamental principle in the treatment of TB.

Choice C rationale:

Slowing the body's resistance to medication is not a goal in TB treatment. The focus is on preventing the development of resistance in the bacteria, not the body's response to the medication.

Choice D rationale:

While TB treatment aims to prevent the further spread of the disease, the primary reason for using a combination of drugs is to address bacterial resistance. Preventing the spread of TB is an important secondary benefit of effective treatment.

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A client receiving which of the following medications would the nurse identify as being at increased risk for candidal infections?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When reviewing a client's history, a nurse determines that the use of laxatives would be contraindicated if the client has a history of which of the following?

Correct Answer is C

Explanation

Correct Answer is B

Explanation

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