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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Correct Answer is A
Explanation
Choice A rationale:
Aminoglycosides are known to have nephrotoxic effects. Nephrotoxicity refers to kidney toxicity, and aminoglycosides can cause damage to the renal tubules, leading to impaired kidney function. The nurse should be alert to this potential toxicity when administering these drugs, as it can result in kidney dysfunction, altered serum creatinine levels, and electrolyte imbalances.
Choice B rationale:
Cardiotoxicity is not typically associated with aminoglycosides. These antibiotics primarily affect the kidneys and the inner ear. There is no direct relationship between aminoglycosides and cardiac toxicity.
Choice C rationale:
Hepatotoxicity refers to liver toxicity and is not a common side effect of aminoglycosides. Aminoglycosides are primarily metabolized in the kidneys and are excreted through urine, making kidney toxicity a more significant concern.
Choice D rationale:
Cytotoxicity is a broad term that refers to the toxicity of cells. Aminoglycosides do not typically cause generalized cytotoxic effects in the body. Their primary toxicities are related to specific organ systems, such as the kidneys and the inner ear.
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