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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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Correct Answer is D

Explanation

Choice A rationale

Sitagliptin is a DPP-4 inhibitor used to manage blood sugar levels in type 2 diabetes but does not specifically slow the progression of nephropathy.

Choice B rationale

Glipizide is a sulfonylurea that helps control blood sugar levels but does not have a direct effect on slowing nephropathy progression.

Choice C rationale

Metoprolol is a beta-blocker used to manage hypertension but does not specifically target nephropathy progression.

Choice D rationale

Losartan is an angiotensin II receptor blocker (ARB) that helps manage hypertension and has been shown to slow the progression of nephropathy in patients with type 2 diabetes.

Correct Answer is D

Explanation

Choice A rationale

Hyperglycemia is not a common adverse effect of colesevelam. Colesevelam is primarily used to lower cholesterol levels and can also help control blood sugar levels in patients with type 2 diabetes.

Choice B rationale

Stomatitis, or inflammation of the mouth, is not typically associated with colesevelam. This medication works in the intestines and is not absorbed into the bloodstream, so it does not commonly cause systemic side effects.

Choice C rationale

Fever is not a known adverse effect of colesevelam. The medication’s side effects are generally limited to the gastrointestinal system.

Choice D rationale

Constipation is a common adverse effect of colesevelam. This medication binds to bile acids in the intestines, which can lead to gastrointestinal side effects such as constipation.

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