The prescriber has just ordered neomycin for a patient with an infection. The nurse is aware that the most important reason neomycin is administered orally is that with parenteral administration is that it
a. causes excessive gastric irritation.
b. would kill beneficial intestinal flora.
c. is inactivated by gastric enzymes after a first pass through the liver.
d. is more ototoxic and nephrotoxic than other aminoglycosides.
D
Neomycin is more ototoxic and nephrotoxic than any other aminoglycoside, therefore it is not given parenterally.
Neomycin does not cause excessive gastric irritation and may be used for gastrointestinal (GI) infection.
Neomycin does not kill beneficial intestinal flora.
Neomycin is not inactivated by the first-pass effect.
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The priority of care after a client has undergone a bone marrow aspiration is:
1. Keeping the client supine for 6-8 hours. 2. Monitoring the client for bleeding. 3. Restricting the client's fluid intake. 4. Keeping the client n.p.o.
The nurse who has assessed that a patient admitted with HIV is experiencing a progressive decline in cognitive, behavioral, and motor functions recognizes that these symptoms are most likely related to the onset of:
A) HIV encephalopathy B) B cell lymphoma C) Kaposi's syndrome D) Wasting syndrome
Immediately after delivery, a woman begins to experience uncontrollable shivering. She asks the nurse what is happening to her. The nurse's most appropriate response would be:
a. "Don't worry, we will give you a pain medication, which will cause your shivering to stop." b. "You are shivering because your body cooled. This is a normal response, and the shivering will stop shortly." c. "Your health care provider will be here shortly to talk about your shivering." d. "You are shivering because of the pain you experienced. The shivering will stop now that the pain is gone."
Pain is a complex phenomenon that affects both the physical and mental areas. When teaching the client about pain, which statement made by the client would indicate appropriate understanding?
1. "Cancer pain usually only lasts a short time." 2. "Acute pain is usually rapid and can vary in intensity." 3. "Chronic pain may be acute, chronic, or intermittent." 4. "Chronic pain usually only lasts a little while."