A nurse is assessing a client who is receiving a dose of IV amphotericin B. Which of the following findings should indicate to the nurse that the client is experiencing an acute infusion reaction?

Pedal edema

Dry cough

Fever

Hyperglycemia

Answer and Explanation

The Correct Answer is C

A. Pedal edema is not typically associated with an acute infusion reaction to amphotericin B.

B. A dry cough is not typically associated with an acute infusion reaction to amphotericin B.

C. Fever is a common manifestation of an acute infusion reaction to amphotericin B, indicating a systemic inflammatory response.
D. Hyperglycemia is not typically associated with an acute infusion reaction to amphotericin B.

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Correct Answer is A

Explanation

A. Nitroglycerin is a contraindication for sildenafil because both medications can cause a significant drop in blood pressure when taken together, leading to hypotension and potentially life-threatening complications.
B. Albuterol, a bronchodilator, is not a contraindication for sildenafil.

C. Furosemide, a diuretic, is not a contraindication for sildenafil.

D. Indomethacin, a nonsteroidal anti-inflammatory drug (NSAID), is not a contraindication for sildenafil.

A. Increase in serum sodium B. Decrease in urine output C. Increase in heart rate D. Decrease in blood pressure

Correct Answer is B

Explanation

A. Increase in serum sodium: Desmopressin, a synthetic form of vasopressin, works to decrease urine output and increase water reabsorption in the kidneys. Therefore, a therapeutic response to desmopressin would not result in an increase in serum sodium; rather, it would aim to normalize serum sodium levels by reducing excessive urine output.
B. Decrease in urine output: The primary therapeutic goal of desmopressin in the treatment of diabetes insipidus is to decrease urine output by increasing water reabsorption in the kidneys. Therefore, a decrease in urine output would indicate a positive response to the medication.
C. Increase in heart rate: Desmopressin primarily affects kidney function by increasing water reabsorption and does not typically have a direct effect on heart rate. Therefore, an increase in heart rate would not be a manifestation of a therapeutic response to desmopressin.
D. Decrease in blood pressure: Desmopressin works to increase water reabsorption in the kidneys and does not typically cause significant changes in blood pressure. Therefore, a decrease in blood pressure would not be a manifestation of a therapeutic response to desmopressin.

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A nurse is assessing a client who is receiving a dose of IV amphotericin B. Which of the following findings should indicate to the nurse that the client is experiencing an acute infusion reaction?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medication list of a client who has erectile dysfunction and is requesting a prescription for sildenafil. The nurse should identify that which of the following medications is a contraindication for receiving this medication?

Correct Answer is A

Explanation

A nurse is caring for a client who has diabetes insipidus and is receiving desmopressin by intermittent IV bolus. Which of the following manifestations should the nurse identify as an indication of a therapeutic response to the medication?

Correct Answer is B

Explanation

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