A patient has been administered an aminoglycoside. It is time for his next dose, and the nurse learns his creatinine level is elevated at 3.9 mg/dL. What action should the nurse take regarding this assessment?
A) Administer the medication and report the creatinine level.
B) Hold the dose until another creatinine level is assessed.
C) Administer the medication with 100 mL of fluids.
D) Hold the medication and assess the urine output.
D
Feedback:
Aminoglycosides are nephrotoxic and should not be administered in the presence of renal impairment. It is important to hold the medication, assess the urine output, and notify the physician. The medication should not be administered. The medication should be held, but the creatinine level cannot be reassessed without a doctor's order. The administration with fluids will not protect the patient from renal impairment.
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