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A nurse is caring for a client receiving an intermittent IV bolus of gentamicin twice daily. Which of the following laboratory values should the nurse monitor while the client is receiving this medication? (Select all that apply.)

A.

Glucose.

B.

Prothrombin time.

C.

Serum creatinine.

D.

Cardiac enzymes.

E.

WBC count.

Question Solution

Correct Answer : C,E

Choice A rationale

 

Monitoring glucose levels is not typically necessary for patients receiving gentamicin, as it does not significantly affect glucose metabolism.

 

Choice B rationale

 

Prothrombin time is not commonly affected by gentamicin, so routine monitoring is not required.

 

Choice C rationale

 

Serum creatinine levels should be monitored to assess kidney function, as gentamicin can cause nephrotoxicity.

 

Choice D rationale

 

Cardiac enzymes are not typically affected by gentamicin, so routine monitoring is not necessary.

 

Choice E rationale

 

Monitoring WBC count is important to detect any signs of infection or bone marrow suppression, which can occur with gentamicin use. 


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View Related questions

Correct Answer is ["A","B","C","E"]

Explanation

Choice A rationale


Prednisone, a corticosteroid, can cause hypokalemia by increasing renal potassium excretion.


Choice B rationale


Torsemide, a loop diuretic, can lead to hypokalemia by promoting potassium loss through urine.


Choice C rationale


Polystyrene sulfonate is used to treat hyperkalemia, but it can cause hypokalemia as it removes potassium from the body.


Choice D rationale


A client taking spironolactone does not require monitoring for hypokalemia because spironolactone is a potassium-sparing diuretic. It helps the body retain potassium, so it is more likely to cause hyperkalemia (high potassium levels) than hypokalemia.


Choice E rationale


Hydrochlorothiazide, a thiazide diuretic, can cause hypokalemia by increasing potassium excretion in the urine.

Correct Answer is B

Explanation

Choice A rationale

Monitoring for weight gain is not a primary concern with pramlintide. Pramlintide is an amylin analog used to control postprandial blood glucose levels. Weight gain is not a typical side effect of pramlintide; instead, it may cause weight loss due to its effects on appetite suppression and delayed gastric emptying.

Choice B rationale

Monitoring for hypoglycemia for 3 hours after pramlintide administration is crucial. Pramlintide can increase the risk of insulin-induced hypoglycemia, especially in patients with type 1 diabetes. This is because pramlintide slows gastric emptying and suppresses glucagon secretion, which can lead to lower blood glucose levels.

Choice C rationale

Injecting pramlintide in the upper arm is not recommended. Pramlintide should be administered subcutaneously in the abdomen or thigh, not the upper arm, to ensure proper absorption and effectiveness.

Choice D rationale

Administering pramlintide 30 minutes prior to a meal is incorrect. Pramlintide should be administered immediately before meals to help control postprandial blood glucose levels effectively.

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