The nurse notes it is time to administer prescribed gentamicin (Garamycin) for a patient with acute kidney injury and suspected streptococcal pneumonia. Which of the following actions would be most appropriate for the nurse to take? (Select all that apply
a. Administer drug as ordered.
b. Consult physician about medication order.
c. Hold medication.
d. Administer half of the prescribed dose.
ANS: B, C
The medication should be held until the physician can be consulted about the medication order, as this is a nephrotoxic agent and the patient already has renal damage. Another agent will likely be ordered.
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Which situation would not increase an older adult's fall risk?
a. Having children's toys and books scattered around the room b. Mood lighting c. Large sunroom with clear path to bedroom and bathroom d. Small bathroom with toilet, sink, and tub
A 42-year-old man presents at the clinic complaining of pain in his heel so bad it inhibits his ability to walk. The patient is diagnosed with plantar fasciitis
Patient teaching provided by the nurse would include what instructions to decrease the pain associated with this condition? A) Wrapping the affected area in lamb's wool or gauze B) Gently stretching the foot and the Achilles tendon C) Wearing open-toed shoes D) Application of keratolytic ointment
A patient recovering from surgery for a small bowel obstruction is prescribed enteral feedings. Which actions should the nurse take to ensure the feedings are provided safely to the patient?
Select all that apply. 1. Keep the head of the bed elevated 30 to 45 degrees. 2. Check for tube placement by flushing with normal saline. 3. Flush the tube with club soda after administering medications. 4. Measure external tube length after verifying placement with an x-ray. 5. Stop the tube feeding 10 minutes before changing the position to supine.
The nurse is assessing a newborn who exhibits continued extrusion of the tongue. Which diagnosis does the nurse anticipate based on this data?
1) Tetralogy of Fallot 2) Diabetes insipidus 3) Diabetes mellitus 4) Down syndrome