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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"]

Explanation

Choice A rationale

Potassium level should be reviewed because captopril can cause hyperkalemia due to its effect on aldosterone secretion.

Choice B rationale

WBC with differential should be reviewed because captopril can cause neutropenia or agranulocytosis, especially in patients with renal impairment or collagen vascular disease.

Choice C rationale

BUN level should be reviewed because captopril can affect renal function, leading to increased BUN levels.

Choice D rationale

Hemoglobin level is not typically affected by captopril, so it is not a priority for review.

Choice E rationale

Glucose level is not typically affected by captopril, so it is not a priority for review.

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

Explanation

Choice A rationale


Muscle weakness is a common symptom of hypokalemia due to decreased potassium levels affecting muscle function.


Choice B rationale


Hyperactive bowel sounds can indicate hypokalemia because potassium is essential for normal gastrointestinal motility. Low potassium levels can lead to increased activity in the intestines, resulting in hyperactive bowel sounds.

Choice C rationale


Tingling of fingers, or paresthesia, can be a symptom of hypokalemia, as low potassium levels may affect nerve conduction. This results in abnormal sensations like tingling or numbness.

Choice D rationale


Peaked T waves are more commonly associated with hyperkalemia rather than hypokalemia. Therefore, this option would not indicate hypokalemia. However, a nurse should be vigilant about monitoring potassium levels as both conditions can lead to significant cardiovascular effects.


Choice E rationale


Fatigue is another symptom of hypokalemia as low potassium levels can impair cellular function and energy production.

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