A patient is receiving gentamicin once daily. A nursing student asks the nurse how the drug can be effective if given only once a day. The nurse explains drug dosing schedules for aminoglyco-sides
Which statement by the student indicates a need for further teaching? a. "Gentamicin has a longer half-life than other aminoglycosides."
b. "Large doses given once daily yield higher peak levels."
c. "The postantibiotic effect lasts for several hours."
d. "There is less risk of ototoxicity and nephrotoxicity with large daily doses."
A
When a daily dose is given once daily instead of divided into 2 or 3 doses, a higher peak level can be achieved. The higher peak, along with the fact that aminoglycosides have a postantibiotic effect, means that the bacterial kill is just as great with one dose as with 2 or 3 doses per day. When a single daily dose is given, the risk of toxicity is reduced. Gentamicin does not have a longer half-life than other aminoglycosides.
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A nurse executive wants to decrease the chances of unionization of a nonunionized nursing service department. To accomplish this goal where should financial and energy resources best be directed?
A) Increasing the nursing salaries and benefits B) Increasing the quality and amount of equipment C) Improving the quality of nursing staff supervision D) Improving nursing and medical staff relationships
In interpreting findings of a study, the researcher should:
a. avoid discussion of problems encountered while doing the study that might influence outcomes. b. emphasize that statistically significant findings must be incorporated into practice. c. relate findings back to the purpose and framework of the study. d. speculate about what the findings might mean to nursing practice.
A client who is 32 weeks pregnant telephones the nurse at her obstetrician's office and complains of constant backache. She asks what pain reliever is safe for her to take. The best nursing response is:
a. "You should come into the office and let the doctor check you." b. "Acetaminophen is acceptable during pregnancy. You should not take aspirin, however." c. "Back pain is common at this time during pregnancy because you tend to stand with a sway back." d. "Avoid medication because you are pregnant. Try soaking in a warm bath or using a heating pad on low before taking any medication."
Anemia due to chronic renal failure is treated with:
1. Epoetin alfa (Epogen) 2. Ferrous sulfate 3. Vitamin B12 4. Hydroxyurea