A patient is receiving an aminoglycoside. The nurse would immediately report which findings? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. A history of allergy to penicillins
2. A weight gain of 5 kg in 2 days
3. Symptoms of vertigo
4. A fluid intake below 2000 mL/day
5. A peak level lower than anticipated
2,3,5
Rationale 1: A history of allergy to penicillin would apply to cephalosporins.
Rationale 2: Aminoglycosides are nephrotoxic. A sudden weight gain indicates possible kidney damage and should be immediately reported.
Rationale 3: The nurse should report the patient's complaints of vertigo because aminoglycosides are ototoxic.
Rationale 4: A patient on fluoroquinolones or sulfonamides must maintain a fluid intake of 2000 to 3000 mL/day.
Rationale 5: Peak and trough levels are important indicators of drug absorption. Any finding outside the expected levels should be reported.
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