The client with hospital-acquired (nosocomial) pneumonia caused by a bacterial infection with a gram-negative microorganism is receiving treatment with intravenous amikacin (Ami-kin)
In addition to frequent respiratory assessment, what other assessment should the nurse routinely perform to identify a common complication of this medication? A. Monitor urine output every shift.
B. Perform neuro checks every 2 hours.
C. Examine the stool and vomitus for the presence of blood.
D. Monitor the complete white blood cell count and differential daily.
A
Amikacin is an aminoglycoside antibiotic and is nephrotoxic. Urine output should be monitored for decreased volume, which could indicate renal insufficiency. At the first sign of renal insuffi-ciency, the drug dosage should be decreased or this class of antibiotics discontinued.
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The physician has recommended an amniocentesis for an 18-year-old woman. The patient is 34 weeks' gestation and does not want this procedure. The physician is insistent the patient have the procedure
The physician arranges for the amniocentesis to be done. What is this would be an example of? A) Veracity B) Beneficence C) Paternalism D) Autonomy
Parents of a 17-year-old patient diagnosed with schizophrenia ask the nurse what the future will be like for their child. The nurse's answer should be based on knowledge that the usual course of illness is
a. a steady lessening of symptoms until stability is achieved. b. characterized by alternating acute and stable phases. c. totally different for each individual patient. d. progressive deterioration.
When monitoring for the effectiveness of treatment for a patient with a large anterior wall myocardial infarction, the most important information for the nurse to obtain is
a. central venous pressure (CVP). b. systemic vascular resistance (SVR). c. pulmonary vascular resistance (PVR). d. pulmonary artery wedge pressure (PAWP).
What will the nurse instruct a client who is prescribed azelaic acid (Azelex) for rosacea?
Standard Text: Select all that apply. 1. It is made from wheat, rye, and barley. 2. Local burning can occur with this medication. 3. The skin may itch with this medication. 4. The skin may peel with this medication. 5. This medication is safe for everyone.