A nurse is preparing to administer an amphotericin B lipid complex via intermittent IV bolus to a client who has infective endocarditis. Which of the following actions should the nurse take?

Use a gravity flow set.

Discard the medication if it is yellow.

Prime the tubing with 0.9% sodium chloride.

Administer the medication over 2 hr.

Answer and Explanation

The Correct Answer is C

A. Use a gravity flow set:
Incorrect Explanation: Using a gravity flow set is not appropriate for administering amphotericin B lipid complex.
Explanation: Amphotericin B lipid complex is typically administered using a dedicated infusion pump to ensure accurate control over the infusion rate and to prevent potential complications.
B. Discard the medication if it is yellow:
Incorrect Explanation: Discarding the medication solely based on its color may not be accurate for the amphotericin B lipid complex.
Explanation: Amphotericin B lipid complex may appear yellowish, and the color itself is not necessarily an indication of its potency or stability. It's important to follow specific guidelines provided by the pharmacy or manufacturer for assessing the integrity of the medication.
C. Prime the tubing with 0.9% sodium chloride:
Correct Answer: Priming the tubing with 0.9% sodium chloride is the appropriate action to ensure the medication is properly administered.
Explanation: Priming the tubing with a compatible solution, such as 0.9% sodium chloride, helps prevent the medication from adhering to the tubing and ensures that the full dose reaches the client.
D. Administer the medication over 2 hr:
Incorrect Explanation: Administering amphotericin B lipid complex over 2 hours is not the standard infusion time.
Explanation: Amphotericin B lipid complex is typically administered over a longer period, often 2-6 hours. However, the specific infusion rate and duration may vary based on the client's condition and the healthcare provider's orders.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. "Notify your provider if you develop a fever while taking this medication."
Clozapine is an antipsychotic medication used to treat severe mental illnesses like schizophrenia. One of the potentially serious side effects of clozapine is agranulocytosis, which is a significant drop in white blood cell count. This can lead to an increased risk of infection. If the client develops a fever, it could be an early sign of an infection due to the lowered white blood cell count, so it's important for them to notify their provider promptly.
B. "Ringing in the ears is an expected adverse effect of this medication." - Tinnitus (ringing in the ears) is not a commonly reported adverse effect of clozapine.
C. "You might experience weight loss while taking this medication." - Weight gain is actually more commonly associated with clozapine use, rather than weight loss.
D. "Diarrhea is a common adverse effect of this medication." - While gastrointestinal disturbances can occur as side effects of antipsychotic medications, diarrhea is not specifically known as a common adverse effect of clozapine.

A. Saw palmetto B. Black cohosh C. Garlic D. Feverfew

Correct Answer is A

Explanation

Saw palmetto is a natural supplement that is sometimes used for the management of benign prostatic hyperplasia (BPH). It is derived from the fruit of the saw palmetto plant and is believed to have potential benefits in reducing urinary symptoms associated with BPH. However, it's important to note that the effectiveness of saw palmetto for BPH is still debated, and its use should be discussed with a healthcare provider.

The other options (Black cohosh, Garlic, Feverfew) are not commonly associated with the management of benign prostatic hyperplasia, and their use for this purpose is not well-established. It's important for the client to have an open and informed discussion with their healthcare provider before starting any supplement, even if it's considered "natural," to ensure that it is safe and appropriate for their specific health condition.

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A nurse is preparing to administer an amphotericin B lipid complex via intermittent IV bolus to a client who has infective endocarditis. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

Correct Answer is A

Explanation

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