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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 C

Explanation

Choice A rationale

Expecting to have drowsiness while taking this medication is a common side effect of many seizure medications. However, it is not an indication of understanding the teaching about seizure medication management.

Choice B rationale

Taking an extra dose of the medication if a dose is missed is incorrect. Patients should not take an extra dose if they miss one. They should follow their healthcare provider’s instructions on what to do if a dose is missed.

Choice C rationale

Having blood checked to monitor the medication level indicates an understanding of the teaching. Monitoring blood levels of seizure medications is important to ensure therapeutic levels and avoid toxicity.

Choice D rationale

Taking the medication with an antacid to prevent indigestion is incorrect. Antacids can interfere with the absorption of some seizure medications.

Correct Answer is B

Explanation

Choice A rationale

Dependent edema is not a common adverse effect of gemfibrozil. It is more commonly associated with other conditions such as heart failure.

Choice B rationale

Muscle tenderness is a known adverse effect of gemfibrozil. It can indicate myopathy or rhabdomyolysis, which are serious conditions that require medical attention.

Choice C rationale

Tremors are not a common adverse effect of gemfibrozil. They are more commonly associated with neurological conditions or other medications.

Choice D rationale

Hyperkalemia is not a common adverse effect of gemfibrozil. It is more commonly associated with medications that affect renal function or potassium balance. .

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