A primary care NP sees a patient who was recently hospitalized for infection and treated with gentamicin for 10 days. The patient tells the NP that the drug was discontinued early because "my blood level was too high." The NP should order:
a. a serial audiometric test.
b. a serum blood urea nitrogen (BUN) and creatinine.
c. a urinalysis and complete blood count.
d. serum calcium, magnesium, and sodium.
A
Aminoglycosides are associated with ototoxicity and nephrotoxicity. Recovery of renal function occurs if the drug is stopped at the first sign of renal impairment. The NP should evaluate the possibility of ototoxicity with a serial audiometric test.
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1. An inability to recall important autobiographical information 2. Clinically significant distress in social and occupational functioning 3. Sudden unexpected travel or bewildered wandering 4. "Blackouts" related to alcohol toxicity
Carl Rogers thought that the task of the therapist was to reflect clients' feelings and support their work toward healthy functioning and self-actualization. His therapy is known as
1. psychoanalysis. 2. libidinal therapy. 3. analytical therapy. 4. client-centered therapy.
Not realizing that its surface was hot, a woman has quickly withdrawn her hand from the surface of a bowl that she was removing from a microwave
Which of the following phenomena has facilitated the rapid movement of her hand in response to the painful stimulus? A) Her midbrain has rapidly responded to the nociceptive stimuli and induced arm flexion. B) The withdrawal reflex of her peripheral nervous system has quickly mediated between afferent and effector neurons. C) The forebrain has mediated a protective spinal cord reflex. D) Her CNS has enacted a protective response received by neurons that innervate her arm muscles.
The nurse includes in the discharge planning for a child recovering from Kawasaki disease that while on antiplatelet therapy, the child should avoid:
a. High altitudes b. Contact sports c. Outdoor play d. Returning to school