During the acute phase, the nurse applied gentamicin sulfate (topical antibiotic) to the burn before dressing the wound. The client has all the following manifestations

Which manifesta-tion indicates that the client is having an adverse reaction to this topical agent? A. Increased wound pain 30 to 40 minutes after drug application
B. Presence of small, pale pink bumps in the wound beds
C. Decreased white blood cell count
D. Increased serum creatinine level


D
Gentamicin does not stimulate pain in the wound. The small, pale pink bumps in the wound bed are areas of re-epithelialization and not an adverse reaction. Gentamicin is nephrotoxic and suffi-cient amounts can be absorbed through burn wounds to affect kidney function. Any client re-ceiving gentamicin by any route should have kidney function monitored.

Nursing

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Cardiogenic shock following an MI is most likely to occur when the ventricular damage exceeds

A) 25%. B) 40%. C) 50%. D) 75%.

Nursing

To counter obesity in adolescents, increasing physical activity is often more important than curb-ing intake. Sports and regular, moderate to intense exercise necessitate dietary modifications to meet increased energy needs for adolescents

The nurse understands that these modifications include a. Decreasing carbohydrates to 25% to 30% of total intake. b. Decreasing protein intake to .75 g/kg/day. c. Ingesting water before and after exercise. d. Providing vitamin and mineral supple-ments.

Nursing

After applying the sphygmomanometer to the patient's upper arm, the nurse inflates the cuff to the proper level, and then, using a stethoscope, listens for the __________________ sounds

Fill in the blanks with correct word

Nursing

Electroconvulsive therapy (ECT) is a(n):

a. elective treatment. b. psychotropic treatment. c. prescribed treatment. d. illegal treatment.

Nursing