A nurse is caring for a client who is taking lithium and reports starting a new exercise program. The nurse should assess the client for which of the following electrolyte imbalances?

A. Laryngeal edema (Correct Answer): Laryngeal edema is a severe allergic reaction that can compromise the airway and lead to respiratory distress. It is a medical emergency and requires immediate intervention. Other signs of a severe allergic reaction may include difficulty breathing, wheezing, and swelling of the face or lips.
B. Nausea: Nausea is a common side effect of many medications, including antibiotics. However, it is not a specific sign of an allergic reaction. Allergic reactions are more likely to involve symptoms such as rash, itching, and swelling.
C. Cardiac dysrhythmia: Cardiac dysrhythmia is not a typical manifestation of an allergic reaction to amoxicillin. Allergic reactions generally involve the immune system and may present with symptoms such as skin rash, itching, or respiratory distress.
D. Insomnia: Insomnia is not a known side effect or manifestation of an allergic reaction to amoxicillin. Allergic reactions are more likely to involve immediate hypersensitivity responses, such as skin reactions or respiratory symptoms.

A. Discard the medication if it is yellow: Amphotericin B lipid complex is typically yellow in color. This is a normal characteristic of the medication, and it should not be discarded based on color. The nurse should be aware of the expected color and administer the medication as prescribed.
B. Administer the medication over 2 hr: Amphotericin B lipid complex is often administered over an extended period (usually over 2 to 6 hours) to minimize the risk of infusion-related reactions. However, if the prescription specifies an intermittent IV bolus, the nurse should follow the prescribed administration route and rate.
C. Prime the tubing with 0.9% sodium chloride (Correct Answer): Amphotericin B lipid complex can interact with dextrose-containing solutions, leading to the formation of a precipitate. Therefore, it is recommended to prime the IV tubing with 0.9% sodium chloride before administering the medication to prevent any potential interaction.
D. Use a gravity flow set: The choice of infusion set may depend on the specific institutional policies and the patient's condition. However, using a pump or a controlled infusion device is often recommended when administering medications like amphotericin B to ensure accurate infusion rates and reduce the risk of adverse reactions.