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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 B

Explanation

Choice A rationale

Crushing tadalafil is not recommended as it can alter the medication’s effectiveness and absorption. Tadalafil should be taken whole to ensure proper dosage and efficacy.

Choice B rationale

Tadalafil can decrease blood pressure by relaxing blood vessels, which allows for increased blood flow. This is a known effect of phosphodiesterase type 5 (PDE5) inhibitors like tadalafil.

Choice C rationale

Tadalafil should not be taken more than once a day. Taking it twice a day can increase the risk of side effects and is not recommended.

Choice D rationale

The effects of tadalafil can last up to 36 hours, not just 4 hours. This prolonged duration is one of the reasons it is preferred by some patients.

Correct Answer is D

Explanation

Choice A rationale

Folic acid is not primarily used to stimulate the immune system. Its main role is in the production of red blood cells and DNA synthesis.

Choice B rationale

Folic acid does not increase the absorption of other medications. It is used to prevent and treat folate deficiency.

Choice C rationale

Folic acid is not used to treat benign prostatic hyperplasia. It is important for cell growth and the production of red blood cells.

Choice D rationale

Folic acid is crucial for the building of blood cells and is especially important during periods of rapid cell division, such as pregnancy.

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