The client receives amphotericin B (Fungizone) for histoplasmosis. What does the best assessment by the nurse include?
1. Serum amylase
2. Serum sodium
3. Blood urea nitrogen
4. Serum glucose
5. Serum creatinine
3,5
Rationale 1: Amphotericin B (Fungizone) does not affect serum amylase.
Rationale 2: Amphotericin B (Fungizone) does not affect serum sodium.
Rationale 3: Amphotericin B (Fungizone) is nephrotoxic, so blood urea nitrogen should be monitored.
Rationale 4: Amphotericin B (Fungizone) does not affect serum glucose.
Rationale 5: Amphotericin B (Fungizone) is nephrotoxic, so serum creatinine should be monitored.
Global Rationale: Amphotericin B (Fungizone) is nephrotoxic, so serum creatinine and blood urea nitrogen should be monitored. Amphotericin B (Fungizone) does not affect serum amylase, serum sodium, or serum glucose.
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