A nurse is preparing to administer flucytosine to a client who has a systemic fungal infection.
Which of the following assessments should the nurse perform before giving this medication? (Select all that apply.).

Liver function tests

Renal function tests

Blood pressure

Complete blood count

Electrocardiogram.

Answer and Explanation

Correct Answer : B,D

Flucytosine can cause bone marrow suppression and renal toxicity, so the nurse should monitor the client’s renal function tests and complete blood count before giving this medication.

These tests can help detect any signs of anemia, leukopenia, thrombocytopenia, or impaired kidney function that may require dose adjustment or discontinuation of the drug.

Choice A is wrong because flucytosine does not affect liver function significantly. Choice C is wrong because flucytosine does not cause changes in blood pressure. Choice E is wrong because flucytosine does not affect cardiac function or cause arrhythmias.

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Correct Answer is B

Explanation

This is because antibiotics act synergistically with the immune system to subdue infection, and it is critical for success that the host defenses are adequate.

Choice A is wrong becauseAge is wrong because age is a general factor that must be considered when choosing any medication, not just antimicrobials.

Choice C is wrong becauseGenetic heritage is wrong because genetic heritage is also a general factor that may affect the metabolism and excretion of medications, not the selection of antimicrobials.

Choice D is wrong becausePrevious medication reactions is wrong because previous medication reactions are also a general factor that may indicate allergies or intolerances to certain medications, not the selection of antimicrobials.

Normal ranges for immune function vary depending on the type and level of immunity measured, such as innate, adaptive, humoral or cellular immunity.Some common tests for immune function include complete blood count (CBC), immunoglobulin levels, complement levels, antibody titers and skin tests.

Normal ranges for these tests depend on the laboratory and the method used, but some examples are:

• CBC: white blood cell count 4.5-11 x 10^9/L; neutrophils 40-75%; lymphocytes 20-50%; monocytes 2-10%; eosinophils 1-6%; basophils 0-2%.

• Immunoglobulin levels: IgG 7-16 g/L; IgA 0.7-4 g/L; IgM 0.4-2.3 g/L; IgE 0-0.4 g/L.

• Complement levels: C3 0.9-1.8 g

A. Oxacillin B. Erythromycin C. Clindamycin D. Vancomycin E. Linezolid.

Correct Answer is ["A","B","C"]

Explanation

Oxacillin, erythromycin and clindamycin are all antibiotics that are sensitive to Staphylococcus aureus according to the culture and sensitivity report.

This means that they can inhibit or kill the bacteria that are causing the wound infection.These antibiotics belong to different classes of drugs that have different mechanisms of action and spectrum of activity.

Choice D and E are wrong because vancomycin and linezolid are antibiotics that are usually reserved for more resistant strains of Staphylococcus aureus, such as methicillin-resistant Staphylococcus aureus (MRSA) or

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A nurse is preparing to administer flucytosine to a client who has a systemic fungal infection. Which of the following assessments should the nurse perform before giving this medication? (Select all that apply.).

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Naxlex Comprehensive Predictor Exams

The nurse identifies which host factor as the most important when choosing an antimicrobial drug?

Correct Answer is B

Explanation

Correct Answer is ["A","B","C"]

Explanation

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Which antibiotics are classified as concentration-dependent antimicrobials?

A nurse is caring for a client who has oral candidiasis and is prescribed nystatin suspension. Which of the following actions should the nurse take?

A nurse is preparing to administer flucytosine to a client who has a systemic fungal infection. Which of the following assessments should the nurse perform before giving this medication? (Select all that apply.).

A nurse is preparing to administer flucytosine to a client who has a systemic fungal infection.
Which of the following assessments should the nurse perform before giving this medication? (Select all that apply.).