A client with diabetes is hospitalized with recurrent pyelonephritis. The provider orders IV gentamicin (Garamycin) before culture results come back. Which action by the nurse is best?
a. Monitor the client's blood sugar before and after each dose.
b. Consult with the pharmacist about the an-tibiotic selection.
c. Monitor the client's daily blood urea ni-trogen and creatinine levels.
d. Check the client's most recent hemoglobin A1c result.
B
Gentamycin is an aminoglycoside antibiotic and has nephrotoxic properties. People with diabetes are always at risk for diabetes-related kidney disease, and such agents should be avoided in this population. The nurse should consult the pharmacist for a list of antibiotics acceptable for empiric therapy for this client. Blood glucose does not need to be monitored more frequently when a client with diabetes receives antibiotics. Checking laboratory work is always an important nursing function, but client safety takes priority.
You might also like to view...
The nurse is working in a low-income neighborhood as a home health nurse. During one of the home care visits, the nurse notes that the children's playground has broken equipment, which the children continue to play on
The nurse has already contacted the owner of the playground about the issue. What action might the nurse take as a public advocate? A) Write an article to the local newspaper to gain public attention. B) No action is required; this is a civil problem beyond the realm of the nurse. C) Call the police to report the owner's neglect. D) Tell the parents they should not pay their rent until the playground is fixed.
Economic factors that are highly critical to the success of discharge planning for a client with severe
and persistent mental illness include (more than one answer may be correct) A. access to housing. B. income adequate to meet basic needs. C. availability of health insurance. D. ongoing interdisciplinary evaluation.
The most serious complication of anaphylactic shock is:
a. itching and hives c. bronchoconstriction with wheezing b. tachycardia d. death
A thorough vascular exam includes all of the following except
A. Cardiac exam B. Reproductive organ exam C. Peripheral vascular exam D. Cranial nerve exam