The nurse is caring for a child with a urinary tract infection who is on intravenous gentamicin (Garamycin). What interventions should the nurse plan for this child with regard to this medication? (Select all that apply.)
a. Encourage fluids.
b. Monitor urinary output.
c. Monitor sodium serum levels.
d. Monitor potassium serum levels.
e. Monitor serum peak and trough levels.
ANS: A, B, E
Garamycin can cause renal toxicity and ototoxicity. Fluids should be encouraged and urinary output and serum peak and trough levels monitored. It is not necessary to monitor potassium sodium levels for patients taking this medication.
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