An infant recently prescribed the anti-infective gentamicin is brought to the emergency department with oliguria, hematuria, cloudy urine, and fever. Which diagnosis would the nurse anticipate for this infant based on the assessment findings?
1. Respiratory distress syndrome
2. Gasping syndrome
3. Nephrotoxicity
4. Neurotoxicity
Correct Answer: 3
Rationale 1: Respiratory distress syndrome is a respiratory problem seen in young children.
Rationale 2: Gasping syndrome is a problem with metabolism, not excretion, in infants.
Rationale 3: Nephrotoxicity is the diagnosis the nurse would anticipate because of the infant's immature renal system and inability to excrete drugs adequately.
Rationale 4: Neurotoxicity is a problem with the nervous system.
Global Rationale: Nephrotoxicity is the diagnosis the nurse would anticipate because of the infant's immature renal system and inability to excrete drugs adequately. Respiratory distress syndrome is a respiratory problem seen in young children. Gasping syndrome is a problem with metabolism, not excretion, in infants. Neurotoxicity is a problem with the nervous system.
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