Exam (elaborations) pharmacology

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 irritating to the IV site, commonly causing thrombophlebitis. 2. A nurse is assessing a peripheral intravenous (IV) site and notes blanching, coolness, and edema at the 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.