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 D
Explanation
A. Cushing's Syndrome: This is a condition caused by prolonged exposure to high levels of cortisol, a hormone produced by the adrenal glands. It is not related to kidney transplant or immunosuppressive therapy.
B. Hypersensitivity Reaction Type I: Also known as an immediate hypersensitivity reaction or an allergy, this type of reaction involves the immune system's exaggerated response to an allergen. Symptoms can range from mild to severe and occur quickly after exposure to the allergen. While allergies can cause various symptoms, they do not specifically represent rejection of a transplanted organ.
C. Chronic Graft Versus Host Rejection: This term is commonly associated with bone marrow or stem cell transplants. It occurs when immune cells from the donated tissue recognize the recipient's body as foreign and attack various organs or tissues. This process typically happens over a more extended period and is not directly related to the scenario described.
D. Acute Host Versus Graft Rejection: This occurs when the recipient's immune system recognizes the transplanted organ as foreign and launches an immune response against it. It can happen shortly after transplantation if the recipient's immune system is not adequately suppressed. In this case, stopping immunosuppressive therapy can trigger acute rejection, leading to the failure of the transplanted organ.
Correct Answer is B
Explanation
A. Gut-associated lymphoid tissue (GALT): GALT is a component of the mucosa-associated lymphoid tissue (MALT) and refers to the immune cells found in the gastrointestinal tract. These cells play a significant role in local immune responses in the gut.
B. Bone marrow: The bone marrow is the primary site of blood cell production in the body. It contains stem cells that can differentiate into various blood cells, including B cells. B cells mature in the bone marrow.
C. Thymus: The thymus is an organ located near the heart and is crucial for the development of T cells. T cells mature in the thymus, where they learn to recognize self from non-self antigens.
D. Lymph nodes: Lymph nodes are small, bean-shaped structures that produce and store cells that help fight infection. While they are essential parts of the immune system, B and T cells are not originally derived from lymph nodes.
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