A patient is receiving intravenous amphotericin. Which of the following assessments warrants the discontinuation of the antifungal agent?
A) Sodium of 138 mEq/L
B) Hematocrit of 39%
C) Blood urea nitrogen of 60 mg/dL
D) AST 10 Unit/L
C
Feedback:
If the patient's BUN exceeds 40 mg/dL or serum creatinine exceeds 3 mg/dL, the drug should be stopped or dosage should be reduced until renal function recovers. The hematocrit is in normal range and will not affect the medication administration. The AST and sodium levels are within normal range and will not affect the administration.
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The nurse working in family practice is assessing an elderly female patient and notices bruises on the patient's arm and back. The most appropriate action the nurse should take is:
a. ignore the bruises because her daughter tells you that her mother is clumsy. b. do nothing because you cannot prove anything. c. report the suspected abuse to the appropriate authorities. d. confront and accuse the daughter of elder abuse.
The nurse is caring for a preschool-age child diagnosed with acute otitis media. Which intervention should be a priority for the nurse?
A) Relieving pain B) Administering a mydriatic C) Cautioning the child not to blow the nose D) Cautioning the child not to pull on the ear
The most common impact on the nurse of The Joint Commission standards is through the management of the pain standard. Which action is necessary to comply with the standard?
a. Documentation of the relief of pain b. Providing for alternative pain medications c. Prescribing the correct dosage of pain medication d. Documentation of the frequency of medication administration
The breastfeeding patient asks the nurse about appropriate contraception. The nurse's best response is:
1. "Breastfeeding has many effects on sexual intercourse." 2. "IUDs are easy to use and easy to insert prior to sexual intercourse." 3. "It's possible to get pregnant before your menstrual period returns. Let's talk about some different options for contraception." 4. "Breastfeeding hampers ovulation, so no contraception is needed."