A nurse is caring for a patient with an infection that is being treated with an aminoglycoside. Which of the following findings would most concern the nurse?
a. Decreased white blood cell count
b. Proteinuria
c. Decreased BUN
d. Concentrated urine
ANS: B
Aminoglycoside-induced nephrotoxicity usually manifests as acute tubular necrosis. Prominent symptoms are proteinuria, casts in the urine, production of dilute urine, and elevations in the serum creatinine and BUN.
Resolution of infection results in a decrease in the white blood cell count.
The BUN is increased, not decreased, with aminoglycoside-induced nephrotoxicity.
The urine is dilute, not concentrated, with aminoglycoside-induced nephrotoxicity.
You might also like to view...
Which of the following assessment data will be most reflective of a client's pain response following open-heart surgery?
1. Family report of pain 2. Response from the client based on use of a pain tool 3. Observations of the client's behaviors while asleep 4. Measurement of vital signs
The nurse is conducting an assessment of a new client who has been using megadoses of nutritional supplements for several years
The nurse is aware that consistently high doses of many vitamins have no adverse effects; however, long-term exposure to synthetic folic acid may do which of the following? A) Mask a deficiency of vitamin B12 B) Can cause a temporary sensory neuropathy C) May increase the risk of heart disease D) Increase the need for other B vitamins
A patient tells the nurse, "I know my minister will visit me when he checks at the admissions desk and learns I'm a patient." The most facilitative response the nurse can make would be
a. "I'm sure you can count on seeing your pastor within a day or two." b. "Because of a federal law, the hospital cannot make your name available to clergy." c. "Clergy rarely make calls to this hospital, so your pastor may not know you're here." d. "I can arrange for a phone so that you may call your minister and ask him to visit."
The nurse is discussing safety of the preschool-age child with a group of caregivers. Which is the most important advice the nurse could offer this group of caregivers?
A) "Stop the car any time the preschooler unbuckles his restraints." B) "Explain that wearing a seat belt is a law and that a police officer will give you a ticket if the child removes the seat belt." C) "Wear your own seat belt every time you drive." D) "Reward your child with candy or some other treat each time the child keeps the seat belt on."