A patient is receiving tobramycin 3 times daily. A tobramycin peak level is 4.5 and the trough is 1.2. What will the nurse do?
a. Give the next dose as ordered.
b. Hold the next dose and notify the provider.
c. Monitor the patient for signs of nephrotoxicity.
d. Tell the patient to report tinnitus.
ANS: A
These levels are within normal limits, so the next dose may be given safely. It is not necessary to withhold the next dose. These levels do not indicate any increased risk of nephrotoxicity or ototoxicity.
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The physician has suggested that the client try Pepto-Bismol to relieve the diarrhea. What information should the nurse provide about this medication?
1. "Do not take the Pepto-Bismol for longer than 48 hours." 2. "The Pepto-Bismol will turn your stools yellow." 3. "Take the Pepto-Bismol before meals and at bedtime." 4. "Take the Pepto-Bismol once per day."
The nurse is caring for an infant born at 37 weeks of gestation of a nondiabetic mother just admitted to the neonatal intensive care unit for observation. The nurse notes that which lecithin/sphingomyelin (L/S) ratio obtained before delivery indicates no
a. 1.4:1 b. 1.6:1 c. 1.8:1 d. 2:1
How would you justify that a nursing theory is, in fact, a middle-range nursing theory? (Select all that apply.)
a. It is simple, clear, generalizable, and accessible. b. It focuses on answering specific nursing practice questions. c. It predicts the effects of one phenomenon on another. d. It explains relationships. e. It is built on several important adapted scientific theories.
The spouse of a patient with a severe head injury believes the patient is going to recover because of making movements without stimulation. What should the nurse explain to the spouse?
A. "Your spouse will likely recover in time." B. "With head injuries, the patient can continue to make movements, but these are reflexes that do not reflect brain function." C. "As long as oxygen gets to the brain, the patient will recover." D. "Those movements indicate that the brain is dead."