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)
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 D
Explanation
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.
Correct Answer is B
Explanation
The correct answer is choice b. Constipation.
Choice A rationale:
Headache is not a common adverse effect of diphenhydramine. While it can cause dizziness and drowsiness, headache is not typically associated with this medication.
Choice B rationale:
Diphenhydramine has significant anticholinergic properties, which can lead to decreased gastrointestinal motility and, consequently, constipation. Clients taking diphenhydramine should be aware of this potential side effect and take preventive measures if necessary.
Choice C rationale:
Bradycardia is not a common adverse effect of diphenhydramine. This medication more commonly affects the central nervous system and gastrointestinal tract.
Choice D rationale:
Hypertension is not typically associated with diphenhydramine. In fact, it can sometimes cause hypotension (low blood pressure) rather than high blood pressure.
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