The client receives gentamicin (Garamycin) intravenously (IV) in the clinical setting. What is a priority nursing action?
1. Monitor the client for hearing loss.
2. Draw daily blood chemistries.
3. Decrease the fluids for the client during therapy.
4. Place the client on isolation precautions.
1
Rationale 1: Aminoglycosides are ototoxic drugs, and the client should be monitored for hearing loss.
Rationale 2: Serum levels of the drug are indicated, but not blood chemistries.
Rationale 3: Decreasing fluids during therapy is not indicated.
Rationale 4: Isolation is determined by the causative organism, not the drug used for treatment.
Global Rationale: Aminoglycosides are ototoxic drugs, and the client should be monitored for hearing loss. Serum levels of the drug are indicated, but not blood chemistries. Decreasing fluids during therapy is not indicated. Isolation is determined by the causative organism, not the drug used for treatment.
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