A patient is receiving intravenous gentamicin. Which change in condition does the nurse report to the prescriber immediately?
a. Temperature increase from 38° C to 39° C.
b. Blood pressure decrease from 132/80 to 118/66.
c. Total 24-hour urine output decrease from 2100 mL to 1100 mL.
d. White blood cell (WBC) count decrease from 11,000/mm3 to 8500/mm3.
C
Gentamicin is an aminoglycoside antibacterial drug. These drugs are toxic to the kidneys (neph-rotoxic). A decrease of urine output by 1000 mL in a 24-hour time period is cause for concern about kidney function. The drug may need to be stopped or the dosage decreased.
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