The nurse is caring for a patient who is receiving an intravenous antibiotic. The nurse notes that the provider has ordered serum drug peak and trough levels. The nurse understands that these tests are necessary for which type of drugs?
a. Drugs with a broad spectrum
b. Drugs with a narrow spectrum
c. Drugs with a broad therapeutic index
d. Drugs with a narrow therapeutic index
ANS: D
Medications with a narrow therapeutic index have a limited range between the therapeutic dose and a toxic dose. It is important to monitor these medications closely by evaluating regular serum peak and trough levels.
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A client is exhibiting signs of hyperthyroidism. Which laboratory values should the nurse expect for this client?
1. T3 of 80-200 ng/dL 2. Growth hormone of less than 5ng/mL 3. Cortisol level of 8 to 10 a.m. 5-23 mcg/dL 4. T4 level of 12.1-13.2 mcg/dL
A 59-year-old woman with a recent history of gallstones had a laparoscopic cholecystectomy performed this morning and has just been admitted to the postsurgical unit from the PACU
The nurse who will be providing this patient's immediate care should prioritize assessments that are related to what complication of a laparoscopic cholecystectomy? A) Paralytic ileus B) Bile duct injury C) Hyperbilirubinemia D) Sepsis
The nurse is assessing a client who has severe pre-eclampsia. The assessment finding that should be reported to the physician is:
1. 11 proteinuria. 2. Platelet count of 20,000. 3. Urine output of 50 ml per hour. 4. 21 DTRs.
What diet would you recommend for KB and why?