A nurse is caring for a client who has a fungal infection and is given a new prescription for amphotericin B. Which of the following laboratory values should the nurse report to the provider before initiating the medication?

Potassium 5.0 mEq/L (3.5-5.0)

Glucose 120 mg/dL (70-110)

Sodium 140 mEq/L (135-145)

BUN 55 mg/dL (6-24)

Answer and Explanation

The Correct Answer is D

BUN stands for Blood Urea Nitrogen, and it is a laboratory test that measures the amount of nitrogen in the blood that comes from urea, which is a waste product of protein metabolism. Elevated BUN levels indicate impaired kidney function. Amphotericin B is known to be potentially nephrotoxic, which means that it can cause damage to the kidneys. Therefore, the nurse should report an elevated BUN level to the provider before initiating the medication to ensure the safety of the client. Potassium, glucose, and sodium levels are within normal range and do not require intervention in this scenario.

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Correct Answer is C

Explanation

According to UpToDate, cross-reactivity between penicillins and other beta-lactam antibiotics such as cephalosporins can occur in some cases. Amoxicillin is a type of penicillin, so the nurse should verify this prescription with the provider to ensure that it is safe for the client to take.

A. This medication can cause photophobia, so be sure to wear sunglasses outdoors. B. Limit your daily ﬂuid intake while taking this medication. C. If the medicine causes an upset stomach, take an antacid at the same time D. You should report any tendon discomfort you experience while taking this medication.

Correct Answer is D

Explanation

Ciproﬂoxacin is a ﬂuoroquinolone antibiotic that can cause tendon problems 1. The nurse should instruct the client to report any tendon discomfort while taking this medication.

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A nurse is caring for a client who has a fungal infection and is given a new prescription for amphotericin B. Which of the following laboratory values should the nurse report to the provider before initiating the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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