A nurse is preparing to administer amphotericin B lipid complex via intermittent IV bolus to a client who has infective endocarditis. Which of the following actions should the nurse take?

Discard the medication if it is yellow.

Use a gravity flow set.

Prime the tubing with 0.9% sodium chloride.

Administer the medication over 2 hr.

Answer and Explanation

The Correct Answer is D

The correct answer is d. Administer the medication over 2 hr.

Choice A reason: Discarding the medication if it is yellow is not necessary. The color of amphotericin B lipid complex does not indicate its effectiveness or safety.

Choice B reason: Using a gravity flow set is not specifically required for the administration of amphotericin B lipid complex. Gravity infusion can be used to administer fluids and drugs where the rate is not critical and serious adverse effects are not anticipated. However, the use of a gravity flow set is not specifically mentioned in the guidelines for administering amphotericin B lipid complex.

Choice C reason: Priming the tubing with 0.9% sodium chloride is not recommended for amphotericin B lipid complex. This is because amphotericin B lipid complex is incompatible with saline solutions and should be diluted only with 5% dextrose injection. Priming the tubing is a common practice in IV therapy to remove air from the tubing before attaching it to the patient.

Choice D reason: Administering the medication over 2 hr is the correct action. Amphotericin B lipid complex is typically administered over a longer period, often 2-6 hours. This allows for a slow and steady delivery of the medication, which can help to minimize potential side effects.

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Correct Answer is A

Explanation

The nurse should instruct the client to avoid drinking beverages while sucking on a nicotine lozenge because this can interfere with the absorption of nicotine and reduce its effectiveness. Some possible explanations for the other choices are:

Choice B is wrong because chewing nicotine gum for 10 minutes before spitting it out is too short.

The recommended duration is at least 30 minutes to allow enough nicotine to be released and absorbed through the lining of the mouth.

Choice C is wrong because changing the nicotine patch every other day is not frequent enough.

The patch should be changed daily and applied to a different skin site to prevent irritation and ensure a steady dose of nicotine.

Choice D is wrong because administering 2 sprays of nicotine nasal spray in each nostril with each dose is too much.

The recommended dose is one spray per nostril, up to five times per hour or 40 times per day.

Using too much nasal spray can cause side effects such as nasal irritation, sneezing, coughing, headache, or nausea.

A. Mix the medications with a semisolid food for the client. B. Administer more than one pill to the client at a time. C. Place the medications on the back of the client’s tongue. D. Tilt the client’s head back when administering the medications.

Correct Answer is A

Explanation

The nurse should plan to take the following action:

A) Mix the medications with a semisolid food for the client.

Mixing the medications with a semisolid food, such as applesauce or pudding, can make it easier for an older adult client with dysphagia to swallow the medications safely. It helps in reducing the risk of choking and aspiration. This approach is typically used for clients who have difficulty swallowing pills.

Options B, C, and D are not recommended for a client with dysphagia:

B) Administering more than one pill at a time can increase the risk of choking and aspiration, which should be avoided.

C) Placing medications on the back of the client's tongue can also lead to difficulty swallowing and an increased risk of aspiration.

D) Tilting the client's head back when administering medications is not recommended as it can lead to aspiration. The head should be kept in a neutral position to support safe swallowing.

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A nurse is preparing to administer amphotericin B lipid complex via intermittent IV bolus to a client who has infective endocarditis. Which of the following actions should the nurse take?

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