A client is receiving gentamicin every 12 hours IVPB for an infection. The nurse has administered the 0800 dose, which is prescribed to run over 1 hour. The physician prescribed peak and trough levels to be drawn. The nurse recognizes that the peak level will be drawn at

0730

1000

2000

1930

Answer and Explanation

The Correct Answer is B

This is the correct time to draw the peak level. The peak level is the highest concentration of the drug in the blood, which typically occurs about 30 minutes to an hour after the end of the infusion.

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Correct Answer is C

Explanation

A. This position can increase pressure on the surgical site and hinder blood flow.
B. This position can also increase pressure on the surgical site and may be uncomfortable for the client.
C. This position promotes venous return, reduces swelling, and minimizes pressure on the surgical site.
D. This position can increase pressure on the surgical site and may hinder blood flow.

A. administer the PRN antianxiety medication. B. auscultate the client's breath sounds. C. elevate the head of the bed. D. prepare for mechanical ventilation.

Correct Answer is C

Explanation

A. While anxiety can exacerbate feelings of breathlessness, treating anxiety does not address the
underlying issue of respiratory distress. It is important to first stabilize the client’s respiratory condition
before managing anxiety.
B. Auscultating breath sounds can provide valuable information regarding the client’s respiratory status. However, in an emergency situation, immediate interventions to stabilize the client should take precedence over assessments, especially since the vital signs indicate significant distress.

C. Elevating the head of the bed can help improve respiratory effort by allowing better lung expansion and reducing the work of breathing. Given the client’s low oxygen saturation and signs of respiratory distress, this intervention can provide immediate relief and improve oxygenation.
D. While this may be necessary if the client's condition worsens or does not improve, it is not the first action to take. Preparing for mechanical ventilation is a more advanced intervention and should only occur after initial stabilization efforts have been made.

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A client is receiving gentamicin every 12 hours IVPB for an infection. The nurse has administered the 0800 dose, which is prescribed to run over 1 hour. The physician prescribed peak and trough levels to be drawn. The nurse recognizes that the peak level will be drawn at

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The client has just returned to the surgical unit following femoral-popliteal bypass surgery of the right leg. The nurse should place the client in which position?

Correct Answer is C

Explanation

Correct Answer is C

Explanation

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