The client has been prescribed Garamycin. The highest priority nursing intervention related to a life-threatening side effect of the medication is to monitor for:

a. blood pressure changes.
b. decrease in pulse rate.
c. nausea and vomiting.
d. decreased urinary output.


ANS: D
Aminoglycosides are nephrotoxic; therefore, urine output must be evaluated.

Nursing

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The patient has severe injuries. The nurse knows that the general adaptation syndrome (GAS) was viewed as a reaction to stress consisting of: (Select all that apply.)

a. a pattern of alarm. b. deleterious consequences. c. a stage of resistance. d. developmental impairment. e. a state of exhaustion.

Nursing

Which of the following would a nurse integrate into the explanation for a client about the mechanism of action for almotriptan? Select all that apply

A) Vasoconstriction B) Vasodilation C) Decreased neurotransmission D) Increased neurotransmission E) Inhibition of prostaglandin synthesis

Nursing

Which of the following protect underlying structures from invasion by microbes and other foreign substances? Select all that apply

A) Subcutaneous layer B) Dermis C) Epidermis D) Outer layer E) Pigment F) Appendages

Nursing

The nurse explains that in the event of an invasion of an allergen, the basophils release a strong vasodilator, which is:

a. lysozyme. b. prothrombin. c. hematocrit. d. histamine.

Nursing