When administering "azole" antifungals (such as fluconazole) orally for a prolonged period of time it is most important to monitor which function?
Respiratory
Cardiac
Renal
Liver
The Correct Answer is D
A. Respiratory Function: Monitoring respiratory function is important for conditions like asthma or chronic obstructive pulmonary disease (COPD). It involves assessing lung sounds, oxygen saturation levels, and breathing patterns. This monitoring is essential to detect any signs of respiratory distress.
B. Cardiac Function: Monitoring cardiac function includes assessing heart rate, blood pressure, and rhythm. It's crucial for patients with heart conditions like heart failure or arrhythmias. This monitoring helps in identifying irregularities in heart function and provides insights into the overall cardiovascular health of the patient.
C. Renal Function: Monitoring renal function involves assessing kidney health, which includes tests like serum creatinine and glomerular filtration rate (GFR). This is vital for patients with kidney diseases or those taking medications that can impact kidney function. Monitoring renal function helps in detecting any signs of kidney impairment or failure.
D. Liver Function: Monitoring liver function involves tests like liver enzymes (AST, ALT), bilirubin levels, and albumin levels. This is essential for patients taking medications that can affect the liver, such as certain antifungals, statins, or pain relievers. Monitoring liver function helps in identifying liver damage or dysfunction early on.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Wear high-top shoes to avoid tendon rupture:
This statement is incorrect. Tendon rupture is a known side effect of fluoroquinolone antibiotics like ciprofloxacin, especially in certain populations. However, wearing high-top shoes does not prevent this. Patients should be educated about the signs of tendon pain, swelling, or inflammation and should be advised to stop the medication and contact their healthcare provider if they experience such symptoms.
B. Use a barrier method of birth control (condoms) during antibiotic use:
This statement is partially correct. Antibiotics like ciprofloxacin do not interfere with the efficacy of hormonal birth control methods like pills, patches, or injections. However, it's advisable to use a barrier method like condoms as an additional form of contraception while taking antibiotics. This is to prevent potential interactions and ensure maximum contraceptive effectiveness.
C. Do not use any bronchodilator inhalers while taking the drug:
This statement is incorrect. Ciprofloxacin does not interact negatively with bronchodilator inhalers. Patients can continue using their prescribed inhalers as directed by their healthcare provider, especially if they are being used for conditions like asthma or chronic obstructive pulmonary disease (COPD).
D. Stop the medication as soon as you feel better:
This statement is incorrect. It's crucial for patients to complete the entire course of antibiotics as prescribed, even if they start feeling better before the course is finished. Stopping antibiotics prematurely can lead to incomplete eradication of the infection, potentially allowing the bacteria to develop resistance and cause a recurrence of the illness.
Correct Answer is C
Explanation
A. Dermatitis and headaches: Prednisone use can sometimes cause skin issues, but dermatitis is not a common side effect. Headaches can also occur, but they are not specific to long-term prednisone therapy.
B. Heart failure and headaches: Prednisone does not directly cause heart failure. Headaches can occur but are not specific indicators of prednisone side effects.
C. Hyperglycemia and osteoporosis: Prednisone can lead to elevated blood glucose levels (hyperglycemia) and increased bone loss (osteoporosis) when used long-term. Regular monitoring is essential to manage these potential side effects.
D. Weight loss and hypoglycemia: Prednisone can cause weight gain rather than weight loss. Hypoglycemia (low blood sugar) is not a common side effect of prednisone; it typically causes hyperglycemia (high blood sugar) instead.
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