1. A nurse is caring for a client with histoplasmosis who is receiving intravenous

amphotericin B(Fungizone). What should the nurse do while the medication is being

administered?

A.Monitor the client’s urine output Correct

B. Monitor the client for hypothermia

C.Check the client’s neurological status Incorrect

D.Check the client’s blood glucose level

Rationale: Amphotericin B can produce medication toxicity during administration and

exhibit symptoms such as chills, fever, headache, vomiting, and impairment of renal

function. The medication is also irritatingto the IV site, commonly causing

thrombophlebitis.

2. A nurse is assessing a peripheral intravenous (IV) site and notes blanching,

coolness, and edema atthe insertion site. What should the nurse do first?

E.Remove the IV Correct

F. Apply a warm compress

G.Check for blood return

H.Measure the area of infiltration

Rationale: Blanching, coolness, and edema of the IV site are all signs of infiltration.

Because infiltration may result in damage to the surrounding tissue, the nurse must first

remove the IV cannula to prevent any further damage. The nurse should not depend

solely on the blood return for assurance that the cannula is inthe vein, because blood

return may be present even if the cannula is only partially in the vein. Compressesmay

be used, but the compress (warm or cool) depends on the type of solution infusing and

physician preference. The nurse should measure the area of infiltration after the IV has

been removed so that further tissue damage is prevented.

3. A nurse provides instructions to a client who will be taking furosemide

(Lasix). Which of thefollowing statements by the client indicates to the nurse that

the client needs additional instruction?

I. ―I need to sit or stand up slowly.‖

J. ―I should expect to have ringing in my ears.‖ Correct

K.―I need to maintain my fluid intake.‖ Incorrect

L. ―This medication will make me urinate.‖

Rationale: Furosemide is a loop diuretic. Adverse effects of furosemide therapy

include orthostatic hypotension and ototoxicity. Therefore the client should change

positions slowly to help prevent lightheadedness. The client must also contact the

physician if signs of ototoxicity, such as hearing loss orringing in the ears, occur. Fluid

intake should be maintained to prevent dehydration.

4. Fluoxetine hydrochloride (Prozac) is prescribed for a client, and the nurse

provides instructionregarding the use of the medication. The nurse tells the client that

it is best to take the medication: M.At lunchtime

N. In the morning Correct

O. With the evening meal

P. Midafternoon, with an antacid

Rationale: Fluoxetine hydrochloride (Prozac) is a selective serotonin reuptake inhibitor

that elicits an antidepressant response. It is best administered in the early morning, and

there is no need to coordinate thedose with a meal. (If the medication causes

lightheadedness or dizziness, the healthcare provider may advise the client to take it at