A nurse 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?

a. "A test dose of amphotericin B may be given to assess the patient's reaction."
b. "If I see any precipitate in the IV solution, I should stop the infusion immediately."
c. "Infusions of amphotericin B should be administered over 1 to 2 hours."
d. "The IV site should be rotated frequently to reduce the risk of phlebitis."


C
Infusions of amphotericin B should be given over 2 to 4 hours to minimize phlebitis and cardi-ovascular reactions; therefore, 1 to 2 hours is incorrect. Test doses are given to evaluate the pa-tient's response. Any precipitate in the IV solution warrants immediate discontinuation of the IV. IV sites should be rotated frequently.

Nursing

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When planning care for a patient in the exudative phase of acute respiratory distress syndrome (ARDS), which concept should the nurse keep in mind?

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The resident tells the nurse this is "not a big deal.". Which of the following does the nurse expect as an outcome if the client continues with this pattern of sleep? 1. The nurse is concerned about the liability created by a resident who is unsupervised in the lounge areas. 2. The nurse recognizes that insomnia is linked to cardiac dysfunction if it is not managed. 3. The nurse is aware that the client's ability to adequately function during the day may be hindered by these episodes. 4. The nurse is concerned that the client is demonstrating significant underlying problems.

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