Anurse is discussing intravenous Amphotericin B treatment with a nursing student who is about to care for a patient with a systemic fungal infection. Which statement by the student indicates a need for further teaching?
There is an infusion reaction to Amphotericin B
Infusions of Amphotericin B should be administered rapidly
The IV site should be rotated frequently to reduce the risk of phlebitis or use bigger vein for the treatment like central line
Amphotericin B is for treatment of fungal infection
The Correct Answer is B
Choice A reason:
Amphotericin B is known to cause infusion reactions, including fever, chills, and rigors. These reactions are common and expected when administering this medication. Therefore, the statement that there is an infusion reaction to Amphotericin B is correct and does not indicate a need for further teaching.
Choice B reason:
This choice is incorrect because infusions of Amphotericin B should not be administered rapidly. Rapid infusion can increase the risk of severe side effects and adverse reactions. The drug should be administered slowly to minimize these risks. Thus, this statement indicates a need for further teaching.
Choice C reason:
Rotating the IV site frequently or using a larger vein, such as a central line, is a standard practice to reduce the risk of phlebitis, a common complication of Amphotericin B treatment. This statement is correct and does not indicate a need for further teaching.
Choice D reason:
Amphotericin B is indeed used for the treatment of systemic fungal infections. This statement is factually accurate and does not suggest any misunderstanding on the part of the nursing student. Therefore, it does not indicate a need for further teaching.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason:
Bowel obstruction can cause abdominal pain, but it typically presents with symptoms such as vomiting, absence of bowel movements, and abdominal distention rather than localized right lower quadrant pain and rebound tenderness. Therefore, this choice is less likely.
Choice B reason:
Hepatitis usually presents with symptoms like jaundice, fatigue, and generalized abdominal discomfort rather than localized right lower quadrant pain with rebound tenderness. This makes hepatitis an unlikely diagnosis in this case.
Choice C reason:
Appendicitis is characterized by right lower quadrant pain, rebound tenderness, and low-grade fever, making it the most likely diagnosis for this patient. These symptoms are classic for appendicitis, a common surgical emergency in young adults.
Choice D reason:
Colon cancer can cause abdominal pain, but it is typically associated with older age, changes in bowel habits, and weight loss. The presentation of right lower quadrant pain and rebound tenderness with fever is not typical for colon cancer, making it an unlikely diagnosis in this young patient.
Correct Answer is A
Explanation
Choice A reason:
Viruses are known for their unique replication process. They cannot replicate independently and must hijack a host cell's machinery to reproduce. This characteristic is fundamental to understanding viruses and is a key concept in virology. By replicating their genetic material inside host cells, viruses ensure their propagation and survival. This answer is correct because it highlights this crucial aspect of viral biology.
Choice B reason:
This choice is incorrect because viruses are not easily killed by antimicrobials. Antimicrobials, such as antibiotics, are typically effective against bacteria, not viruses. Viruses have different structures and replication mechanisms that make them resistant to these treatments. Instead, antiviral medications are needed to target viruses specifically.
Choice C reason:
This choice is also incorrect. Viruses do contain either DNA or RNA as their genetic material. This genetic material is essential for their replication and propagation. Some viruses have DNA, while others have RNA, and this distinction is one of the primary ways viruses are classified.
Choice D reason:
Viruses are not capable of independent reproduction. They rely entirely on infecting host cells to replicate. This dependence on host cells distinguishes them from other microorganisms like bacteria, which can reproduce on their own. Thus, this choice is incorrect as it does not accurately reflect the nature of viruses.
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