A patient is receiving tobramycin three times daily. A tobramycin peak level is 4.5 and the trough is 1.2 . What will the nurse do?
a. Give the next dose as ordered.
b. Hold the next dose and notify the provid-er.
c. Monitor the patient for signs of nephro-toxicity.
d. Tell the patient to report tinnitus.
A
These levels are within normal limits, so the next dose may be given safely. It is not necessary to withhold the next dose. These levels do not indicate any increased risk of nephrotoxicity or oto-toxicity.
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After teaching a client who has been diagnosed with hepatitis A, the nurse assesses the client's understanding. Which statement by the client indicates a correct understanding of the teaching?
a. "Some medications have been known to cause hepatitis A." b. "I may have been exposed when we ate shrimp last weekend." c. "I was infected with hepatitis A through a recent blood transfusion." d. "My infection with Epstein-Barr virus can co-infect me with hepatitis A."
Your patient with community-acquired pneumonia shows a pleural effusion on chest x-ray, indicating the need for:
A. Immediate endotracheal intubation B. Broad spectrum intravenous antibiotics C. Thoracentesis to rule out empyema D. Gram stain and culture of sputum
For a client with renal trauma exhibiting gross hematuria, the nurse would enforce the activity limitation of
a. ambulation in hall once daily. b. ambulation in room only. c. bed rest. d. bathroom privileges.
A client is being treated in the clinic for an exacerbation of multiple sclerosis. The nurse would anticipate administering which drug?
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