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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

Explanation

Choice A rationale

Vomiting is a common sign of digoxin toxicity. Other symptoms include nausea, confusion, and visual disturbances.

Choice B rationale

Dilated pupils are not a typical sign of digoxin toxicity. Symptoms are more related to gastrointestinal and cardiac effects.

Choice C rationale

Bruising is not directly associated with digoxin toxicity. It may indicate other issues such as coagulopathy.

Choice D rationale

Peripheral edema is not a specific sign of digoxin toxicity. It is more commonly associated with heart failure.

Correct Answer is C

Explanation

Choice A rationale

Metoclopramide is not used to suppress cough. It is primarily used to treat nausea, vomiting, and gastroparesis.

Choice B rationale

Metoclopramide does not have a primary effect on muscle relaxation. Its main action is to increase gastrointestinal motility.

Choice C rationale

Reduced nausea is a primary outcome for evaluating the effectiveness of metoclopramide. It is commonly prescribed to manage nausea and vomiting.

Choice D rationale

Metoclopramide is not typically used to decrease pain. Its primary indications are related to gastrointestinal symptoms.

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