The nurse is caring for a client prescribed gentamicin 110 mg every 8 hours for 10 days. Which laboratory study is anticipated to monitor medication side effects?
A) Blood chemistry
B) BUN and serum creatinine
C) Creatinine clearance test
D) Urine osmolality
B
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The client who is on a therapeutic regimen of gentamicin is ordered laboratory studies of a BUN and serum creatinine to monitor for signs of nephrotoxicity related to medication therapy. Nephrotoxicity from the use of an aminoglycoside is reversible if the medication is discontinued. The other laboratory studies do not focus on nephrotoxicity.
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The nursing instructor is teaching the class about how prescription drugs become over-the-counter (OTC) drugs and lists what factor as preventing a drug from becoming classified as OTC?
A) If the patient cannot reliably self-diagnose the condition the drug is intended to treat B) If it would mask signs and symptoms of an underlying problem, the drug remains available by prescription only. C) If the drug would cause toxic effects if not taken as directed, it remains a prescription drug. D) OTC drugs must not have any adverse effects that could harm the patient.
After teaching a client and family about prescribed phenytoin therapy, the nurse determines that the teaching was successful when they
identify that which of the following should be reported to the primary health care provider as possibly indicating toxicity? Select all that apply. A) Ataxia B) Nystagmus C) Slurred speech D) Lethargy E) Diplopia
An institutional policy ____
a. Fosters inconsistency in administrative actions b. Helps guide organizational decision making c. Is incongruent with the values of the institution d. Outlines specific steps on how to perform an act
A patient is diagnosed with severe hyponatremia. The nurse realizes this patient will mostly likely need precautions implemented for what event?
1. seizure 2. infection 3. neutropenia 4. high-risk fall