Hesi Pharmacology Exam 2019 - 100 Correct Questions

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 clients urine output CorrectB Monitor the client for hypothermiaC Check the clients neurological status IncorrectD Check the clients blood glucose levelRationale: 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 CorrectF Apply a warm compressG Check for blood returnH Measure the area of infiltrationRationale: 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 in the vein, because blood return may be present even if the cannula is only partially in the vein. Compresses may be used,