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

Vancomycin is a glycopeptide antibiotic that is eﬀective against gram-positive bacteria, particularly against MRSA, which is resistant to other antibiotics like methicillin. It is not eﬀective against gram-negative bacteria such as Pseudomonas aeruginosa and Klebsiella. Candida is a fungal infection and is not treated with vancomycin. Therefore, in this educational program, the nurse manager should emphasize that vancomycin is indicated for the treatment of infections caused by MRSA.

A. Hearing Loss B. Alterations in touch C. Metallic taste D. Olfactory changes

Correct Answer is C

Explanation

The correct answer is choice c. Metallic taste Choice A rationale: Metronidazole is not associated with hearing loss as a common adverse effect. Hearing loss is more commonly linked to other medications, such as aminoglycosides. Choice B rationale: Alterations in touch, or peripheral neuropathy, can occur with metronidazole but are not the typical sense alteration reported by patients. Choice C rationale: Metallic taste is a well-documented adverse effect of metronidazole. Many patients report a metallic or unpleasant taste during therapy. Choice D rationale: Olfactory changes are not a commonly reported adverse effect of metronidazole. This is more often seen with certain other medications or conditions.

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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

A nurse manager is providing an educational program on antibiotic sensitivity to bacterial infection. The nurse should include in the teaching that vancomycin is Indicated for which of the following infections?

Correct Answer is C

Explanation

A nurse Is teaching a client who Is taking metronidazole. Which of the following sense alterations should the nurse Include as an adverse eﬀect of metronidazole?

Correct Answer is C

Explanation

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