A client receiving intravenous amphotericin B for treatment of a fungal infection. Which laboratory result is most important for the practical nurse (PN) to report to the healthcare provider?
Reference range:
- Creatinine [0.6 to 1.2 mg/dL (53 to 106 μmol/L)]
- Hematocrit [42% to 52% (0.42 to 0.52 volume fraction)]
- Potassium [3.5 to 5.0 mEq/L (3.5 to 5.0 mmol/L)]
- Platelets [150,000 to 400,000/mm3 (150 to 400 x 10L)]
Platelet count 150,000/mm3 (150,000 10°/L).
Hematocrit 35% (0.35 volume fraction).
Potassium 3.5 mEq/L (3.5 mmol/L).
Creatinine 3.8 mg/dL (335.92 μmol/L).
The Correct Answer is D
A. Platelet count 150,000/mm³: Within normal range; no urgent need to report.
B. Hematocrit 35%: Slightly low, but not the most critical value in this context.
C. Potassium 3.5 mEq/L: At the lower limit of normal; monitor but not urgent.
D. Creatinine 3.8 mg/dL: Amphotericin B is nephrotoxic; this elevated creatinine indicates severe kidney impairment and must be reported immediately.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Tell the nurse assigned to the client about the event so the findings can be recorded: The PN must first verbally report to the responsible nurse to ensure continuity of care and proper documentation.
B. Enter computer documentation of the findings and the application of a dressing: Documentation is essential but comes after notifying the primary nurse in charge of the client.
C. Inform the charge nurse that the findings indicate that the client pulled out the IV: Assumptions should be avoided unless confirmed; the PN should report only observed facts.
D. Complete the shift documentation for this client and include the findings about the IV: This delays immediate communication to the responsible nurse and could jeopardize timely care.
Correct Answer is ["40"]
Explanation
Insulin dose calculation
- NPH insulin = 25 units (scheduled).
- Sliding scale for 271 mg/dL = 15 units.
- Total dose = 25 + 15 = 40 units.
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