A patient has been administered an aminoglycoside. It is time for his next dose and the nurse notices his creatinine level is 32 . 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
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A client is diagnosed with mitral insufficiency, and the nurse detects a murmur with a musical quality over the apex of the heart. The nurse recognizes this is caused by:
A) regurgitation of blood from the left ventricle into the left atrium. B) enlargement of the right ventricle due to increased pressure in the right atrium. C) regurgitation of blood from the right ventricle into the right atrium. D) regurgitation of blood from the aorta into the left ventricle.
A 9-year-old client asks the nurse, "Why do I need to sleep?" The nurse's most age-appropriate, informative response is:
1. "Everyone needs to sleep to feel rested." 2. "It gives your body a chance to really rest." 3. "You'll be able to do so much better in school if you're rested." 4. "Your body needs to rest in order to grow and be really healthy."
A client is experiencing difficulty in adjusting to a new prosthesis despite conscientious client education by numerous members of the health care team. How should the team respond to the client's lack of learning to this point?
a. Scale back the scope and detail of client education. b. Explore alternatives to prosthesis. c. Revise the education plan that has guided education. d. Refer the client to outside sources of information.
Which drug of choice should the nurse anticipate administering to a patient with severe new onset pain due to trigeminal neuralgia?
A) Gabapentin B) Carbamazepine C) Baclofen D) Phenytoin