The nurse is preparing to give a dose of gentamicin to a patient and notes that the most recent serum gentamicin trough level was 2 mcg/mL. What will the nurse do next?
a. Administer the drug as ordered.
b. Administer the drug and monitor for adverse effects.
c. Notify the provider to discuss decreasing the dose.
d. Notify the provider to report a toxic drug level.
ANS: D
The trough drug level for gentamicin should be less than 2 mcg/mL. The nurse should not administer the drug and should notify the provider of the toxic level.
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