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A nurse is caring for a client who has an infection and is starting to take gentamicin. Which of the following client laboratory tests should the nurse monitor to detect an adverse effect of the medication?

A.

B-type natriuretic peptide (BNP).

B.

Creatinine.

C.

Amylase level.

D.

Erythrocyte sedimentation rate (ESR).

Answer and Explanation

The Correct Answer is B

Choice A rationale

 

BNP is used to diagnose heart failure, not to monitor gentamicin’s adverse effects.

 

Choice B rationale

 

Creatinine levels should be monitored as gentamicin can cause nephrotoxicity, leading to impaired kidney function.

 

Choice C rationale

 

Amylase levels are not relevant for detecting gentamicin’s adverse effects.

 

Choice D rationale

 

ESR is used to detect inflammation, not specific to gentamicin’s adverse effects.


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View Related questions

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

Explanation

Choice A rationale

Contacting the provider is essential to inform them of the error and receive further instructions on managing the client’s condition.

Choice B rationale

Reporting the error to the charge nurse is necessary for proper documentation and to ensure that corrective actions are taken to prevent future errors.

Choice C rationale

Incident reports should not be placed in the client’s chart. They are for internal use to improve safety and quality of care.

Choice D rationale

Auscultating the client’s lungs is important to check for signs of fluid overload, such as crackles or wheezing.

Choice E rationale

Checking for peripheral edema helps assess the extent of fluid overload and its impact on the client’s condition.

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

Explanation

Choice A rationale

Peripheral edema is a common adverse effect of verapamil. It occurs due to the vasodilatory effects of the medication, which can cause fluid retention in the extremities.

Choice B rationale

Bradycardia is an adverse effect of verapamil. It occurs because verapamil slows down the heart rate by blocking calcium channels in the heart.

Choice C rationale

Constipation is a common adverse effect of verapamil. It occurs due to the medication’s effect on smooth muscle relaxation, which can slow down gastrointestinal motility.

Choice D rationale

Reports of blurred vision are not a common adverse effect of verapamil. Blurred vision is not typically associated with this medication.

Choice E rationale

Reports of insomnia are not a common adverse effect of verapamil. Insomnia is not typically associated with this medication.

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