Difficulty: Medium
Average Score: 89%
Simulated
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?
Correct answer
D
Rationale
The correct answer is D: BUN 55 mg/dL (6-24). Amphotericin B is known to cause kidney damage and can lead to renal impairment. Elevated BUN levels indicate impaired kidney function, which can be exacerbated by the medication. Therefore, the nurse should report this value to the provider before initiating amphotericin B to monitor kidney function closely.
A: Potassium within normal range, not directly related to amphotericin B administration.
B: Glucose slightly elevated, not a specific concern with amphotericin B.
C: Sodium within normal range, not directly impacted by amphotericin B.
Summary: The nurse should focus on monitoring the BUN level as it is a crucial indicator of renal function when administering amphotericin B.
A: Potassium within normal range, not directly related to amphotericin B administration.
B: Glucose slightly elevated, not a specific concern with amphotericin B.
C: Sodium within normal range, not directly impacted by amphotericin B.
Summary: The nurse should focus on monitoring the BUN level as it is a crucial indicator of renal function when administering amphotericin B.