The female client has a fungal infection and will receive nystatin (Mycostatin). What assessment data is critical for the nurse to review prior to administering this medication?

Correct Answer: C

Rationale: Nystatin, an antifungal for candidiasis, is Category C, indicating potential fetal risks aren't fully ruled out. Assessing whether the client could be pregnant is critical to evaluate safety, as pregnancy might necessitate alternative treatments or physician consultation to avoid harm. Diet type or fat content minimally affects nystatin's topical or oral efficacy, unrelated to its safety profile. Height and weight influence dosing for some drugs, but nystatin's standard dosing isn't weight-based for most indications. Pregnancy status directly impacts risk-benefit decisions, especially for a reproductive-age female, aligning with pharmacological precautions. The nurse's review of this data ensures no teratogenic effects are risked unknowingly, making C the most critical assessment prior to administration.

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Correct Answer: A

Rationale: Patients who are immunocompromised due to organ transplant and subsequent immunosuppressive medications are at an increased risk of developing infections. The immunosuppressive medications weaken the immune system's ability to fight off pathogens, making the patient susceptible to various types of infections. Therefore, a patient who has received a kidney transplant is at risk for infections and should be monitored closely for any signs or symptoms of infection.

Correct Answer: D

Rationale: The most concerning adverse effect for an older adult patient taking a vasodilator for hypertension is hypotension, which is abnormally low blood pressure. Older adults may be more sensitive to the blood pressure-lowering effects of vasodilators due to age-related changes in the cardiovascular system. Hypotension can lead to dizziness, lightheadedness, falls, and even fainting, increasing the risk of injury in older adults. Monitoring blood pressure regularly and adjusting the dosage appropriately are crucial in managing this potential adverse effect in older patients.

Correct Answer: A

Rationale: For a 79-year-old patient taking a diuretic for hypertension, the nurse should know that extra precautions are necessary for preventing orthostatic hypotension and potential falls. Orthostatic hypotension refers to a drop in blood pressure that occurs when standing up from a sitting or lying down position. This can lead to dizziness and an increased risk of falls, particularly in elderly individuals. Therefore, the teaching point about taking extra precautions when standing up is critical to emphasize for this patient to ensure their safety and well-being. Option A is the correct choice as it highlights the importance of this teaching point for the patient's care.