A client with a fungal infection of the toenail reports to the nurse that the client has been applying an over-the-counter (OTC) triple antibiotic ointment to the infection daily for two weeks without any improvement. Which action should the nurse take?

Instruct the client to obtain a prescription for oral terbinafine.

Advise the client to obtain a prescription-strength formulation of the ointment.

Reassure the client that treatment of fungus infected toenails often takes several months.

Suggest that the client use the ointment twice a day to be more effective.

Answer and Explanation

The Correct Answer is A

A. Instruct the client to obtain a prescription for oral terbinafine: Since the client has been using an over-the-counter triple antibiotic ointment for two weeks without improvement, it indicates that the treatment is ineffective for fungal infections. Over-the-counter ointments are typically not effective for toenail fungal infections, which often require prescription-strength antifungal treatment. Oral terbinafine is a prescription antifungal medication that is more effective for treating such infections, so advising the client to obtain a prescription is the most appropriate action.
B. Advise the client to obtain a prescription-strength formulation of the ointment: Prescription-strength topical treatments are often used for fungal infections, but toenail fungal infections usually require oral antifungal medications to penetrate the nail effectively. Advising the client to obtain a prescription-strength ointment may not address the root cause, which often involves systemic treatment.
C. Reassure the client that treatment of fungus-infected toenails often takes several months: While it is true that toenail fungal infections can take several months to treat, the lack of improvement with the current treatment suggests that a more effective treatment is needed. Reassuring the client about the duration of treatment without addressing the ineffectiveness of the current treatment does not resolve the issue.
D. Suggest that the client use the ointment twice a day to be more effective: Increasing the frequency of application of the triple antibiotic ointment is unlikely to improve its effectiveness against a fungal infection. Fungal infections typically require specific antifungal agents, and simply using the current ointment more frequently will not address the underlying issue.

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Correct Answer is A

Explanation

A. Explore what the client means by the drug "is not working": This is the most appropriate initial intervention. It is essential to understand the client's specific concerns and symptoms they are experiencing to assess whether the medication is meeting its intended effects or if there may be issues with dosing, timing, or expectations. This step helps clarify the client's experience and guides further assessment.
B. Determine if the client is taking the medication before meals: While the timing of carbidopa-levodopa intake relative to meals can affect its absorption, understanding the client's specific concerns about the medication's effectiveness should come first. If the medication is not working as expected, checking administration timing is one aspect to explore after clarifying the client's concerns.
C. Evaluate the client for signs of dyskinesia: Dyskinesia, which refers to involuntary movements, can be a side effect of long-term use of carbidopa-levodopa. However, before evaluating for specific side effects, it is crucial to first understand the client's perception of the medication's effectiveness.
D. Ask if the client's morning voids are dark colored: This is less relevant to the immediate concern of the medication's effectiveness. While urine color can sometimes be affected by medications or their side effects, addressing the client's specific concern about the medication's effectiveness is more pertinent.

Correct Answer is ["6.7"]

Explanation

600,000 units -> 2 mL
? -> 1 mL

Cross-multiplying:
(600,000 * 1) / 2 = 300,000 units

300,000 units -> 1 mL
2,000,000 units-> ?

Cross-multiplying:
(2,000,000 * 1 ) / 300,000 = 6.67 mL
= 6.7 mL

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A client with a fungal infection of the toenail reports to the nurse that the client has been applying an over-the-counter (OTC) triple antibiotic ointment to the infection daily for two weeks without any improvement. Which action should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing a client who was recently diagnosed with Parkinson's disease and is taking carbidopa-levodopa. The client is concerned that the medication is not working. Which intervention should the nurse implement first?

Correct Answer is A

Explanation

A client receives a prescription for penicillin 2 million units IM. The available vial is labeled, "600,000 units/2 mL." How many mL should the nurse administer? (Enter numeric value only.)

Correct Answer is ["6.7"]

Explanation

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