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. Osteoporosis. A nurse is consulting a formulary about a client's new prescription for raloxifene. The medication raloxifene is used to treat osteoporosis. It is a selective estrogen receptor modulator (SERM) that helps to prevent and treat bone loss in postmenopausal women. It works by mimicking the effects of estrogen on bone tissue, helping to prevent bone breakdown and maintain bone density.
B. Urinary tract infection: UTIs are typically treated with antibiotics.
C. Hypothyroidism: Hypothyroidism is treated with thyroid hormone replacement.
D. Deep-vein thrombosis: DVT is typically treated with anticoagulant medications like heparin and warfarin.

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

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