A patient is prescribed amphotericin B (Fungizone) 400 mg intravenously. How fast does the nurse infuse this drug?
a. Immediately by intravenous (IV) push
b. Over a period of 60 minutes
c. Over a period of 2 hours
d. Over a minimum of 6 hours
D
Rapid administration of IV amphotericin B is associated with more severe rigors, hyperkalemia, and a more rapid onset of renal insufficiency. It is recommended that the drug be administered over a 6-hour time period regardless of the dose.
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The nurse is obtaining a throat culture. Which action indicates correct technique?
1. Inserting the swab into the sterile tube without touching the outside of the container 2. Inserting a tongue blade to depress the anterior two-thirds of the tongue 3. Swabbing along the side of the cheek inside the mouth 4. Swabbing the pharynx gently and quickly, avoiding the tonsils
A psychiatric nurse can make a nursing diagnosis and address it in the nursing care plan as a nursing concern when which of the following criteria are met?
a. The nursing diagnosis is probable or potential, but not yet substantiated by either objective or subjective assessment data. b. The nursing diagnosis must be substantiated by objective assessment data. c. The nursing diagnosis is substantiated by either objective or subjective assessment data. d. The client does not have to agree that it is an area of nursing concern nor desire nursing treatment for it.
The nurse is assisting the health care provider (HCP) with a client's chest tube removal. Just as the HCP prepares to pull the chest tube, what instructions should the nurse give the client?
a. "Breathe as you normally would." b. "Inhale and exhale slowly." c. "Take a breath in, hold it, and bear down." d. "Take rapid shallow breaths, similar to panting."
A nurse is preparing a sterile field for a dressing change using surgical aseptic technique. The nurse gathers supplies to prepare the sterile field using a packaged drape. Which option correctly describes how the nurse should set up the field?
a. Don sterile gloves before opening the packaged drape. b. Clean the bottle of irrigation solution with alcohol before placing the bottle on the field. c. Avoid dropping sterile supplies close to the 1-inch border around the drape. d. Leave the sterile field unattended to obtain needed supplies.