The nurse is preparing an infusion of
amphotericin B for a patient who has a severe fungal infection. Which intervention is appropriate regarding the potential adverse effects of amphotericin B?
a. Discontinuing the infusion immediately if fever, chills, or nausea occur
b. Gradually increasing the infusion rate until the expected adverse effects occur
c. If fever, chills, or nausea occur during the infusion, administering medications to treat the symptoms
d. Before beginning the infusion, administering an antipyretic and an antiemetic drug
ANS: D
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A client tells the nurse that his pain was not relieved even when he took more of a prescribed medication. The nurse realizes that the client most likely was taking which of the following medications?
a. NSAIDs c. Codeine b. Morphine d. Hydromorphone (Dilaudid)
A nurse is giving a parent information about autism. Which statement made by the parent indicates understanding of the teaching?
a. Autism is characterized by periods of remission and exacerbation. b. The onset of autism usually occurs before 2 1/2 years of age. c. Children with autism have imitation and gesturing skills. d. Autism can be treated effectively with medication.
A client on long-term corticosteroid therapy is demonstrating signs of acute adrenocortical insufficiency. The nurse knows that these symptoms are caused by:
Standard Text: Select all that apply. 1. the shutting down of ACTH secretion. 2. the failure of the adrenal cortex to secrete corticosteroids. 3. rebound ACTH secretion. 4. excessive secretion of ACTH. 5. toxic levels of mineralocorticoids.
A child who receives valproic acid (Depakote) begins taking lamotrigine (Lamictal) because of an increase in the number of seizures. The nurse will observe this child closely for which symptom?
a. Angioedema b. Hypohidrosis c. Rash d. Psychosis