The nurse uses topical gentamicin sulfate (Garamycin) on a client's burn injury. Which laboratory value does the nurse monitor?
a. Creatinine
b. Red blood cells
c. Sodium
d. Magnesium level
A
Gentamicin is nephrotoxic, and sufficient amounts can be absorbed through burn wounds to af-fect kidney function. Any client receiving gentamicin by any route should have kidney function monitored. Topical gentamicin will not affect the red blood cell count or the sodium or magne-sium level.
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Improvement to the immune system of an older adult includes
a. Stress management, dehydration, decreased cigarette smoking b. Adequate nutrition, decreased alcohol usage, fluid restriction c. Exercise, adequate nutrition, decreased alcohol usage d. Rest, fluid restriction, alcohol usage
Rh0 immune globulin will be ordered postpartum if which of the following situations occurs?
a. Mother Rh negative, baby Rh positive b. Mother Rh negative, baby Rh negative c. Mother Rh positive, baby Rh positive d. Mother Rh positive, baby Rh negative
The nurse is concerned that an older patient with a chronic illness is on a trajectory towards frailty and dependence. What did the nurse assess in this patient?
1. Ability to halt progression of chronic disease manifestations 2. Osteoarthritis causing more difficulty than cognitive impairment 3. Family that phones several times a day and visits every weekend 4. Limited health insurance coverage that does not include a pharmacy plan
The 27-year-old male client with Hodgkin's lymphoma in the abdominal and pelvic regions is about to start radiation therapy. What long-term side effect of this therapy should the nurse be sure that he understands?
A. Sperm production will be permanently disrupted. B. Constipation will be continuous throughout therapy. C. Baldness from radiation therapy is likely to be permanent. D. This treatment increases the risk for prostate cancer later in life.