A patient who was recently hospitalized and treated with gentamicin tells the primary care NP, "My kidney function test was abnormal and they stopped the medication." The patient is worried about long-term effects. The NP should:
a. monitor renal function for several months.
b. reassure the patient that complete recovery should occur.
c. refer the patient to a nephrologist for follow-up evaluation.
d. monitor serum electrolytes and serum creatinine and BUN.
B
Recovery of renal function occurs if the drug is stopped at the first sign of renal impairment. It is necessary to monitor blood values during therapy to ensure effectiveness and prevent toxicity.
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