The nurse would recognize which symptom as a sign of a serious adverse effect in a client taking amphotericin B?
1. Hypokalemia
2. Leukopenia
3. Hematuria
4. Paresthesia
Correct Answer: 3
Rationale 1: Although hypokalemia can occur, it is not as significant as another symptom.
Rationale 2: Leukopenia can occur, but is not as serious as another symptom.
Rationale 3: Hematuria is a symptom of nephrotoxicity and possible renal failure.
Rationale 4: Paresthesia is not a symptom of a serious adverse effect of amphotericin B.
Global Rationale: Hematuria is a symptom of nephrotoxicity and possible renal failure. Hypokalemia and leukopenia can occur, but are not as serious as possible renal failure. Paresthesia is not an adverse effect of this drug.
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A client with a history of rheumatic heart disease is being evaluated for mitral stenosis. To identify symptoms that support the diagnosis of mitral stenosis, the nurse should ask which of the following questions?
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a. 4 months b. 6 months c. 1 year d. 2 years
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