A nurse is caring for a 4-year-old child who has meningitis and is receiving gentamicin.
Which of the following laboratory values should the nurse report to the provider?
Creatinine.4 mg/dL.
Creatinine 0.3 mg/dL.
BUN 12 mg/dL.
BUN 6 mg/dL.
The Correct Answer is A
Choice A: Gentamicin is an aminoglycoside antibiotic that can cause nephrotoxicity. Nephrotoxicity refers to kidney damage and can be demonstrated by rising serum creatinine levels. A creatinine level of 1.4 mg/dL is higher than the normal range and may indicate impaired kidney function 2.
Choice B is wrong because Creatinine 0.3 mg/dL is not an answer because it falls within the normal range for creatinine levels.
Choice C is wrong because BUN 12 mg/dL is not an answer because it falls within the normal range for BUN levels.
Choice D is wrong because BUN 6 mg/dL is not an answer because it falls within the normal range for BUN levels.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
During a seizure, it is important to clear the area around the person of anything hard or sharp to prevent injury.
Choice A is wrong because Minimize movement of the limbs, is not a recommended action during a seizure as it is important not to hold the person down or try to stop their movements.
Choice B is wrong because Insert a tongue blade between the teeth, is not a recommended action during a seizure as it is important not to put anything in the person’s mouth.
Choice D is wrong because Place the child in a prone position, is not a recommended action during a seizure as it is important to turn the person gently onto one side to help them breathe.
Correct Answer is A
Explanation
A 24-gauge catheter is the smallest-gauge catheter and is appropriate for administering IV fluids and medications to an infant.
Choice B is wrong because an opaque dressing would prevent the nurse from visualizing the insertion site.
Choice C is wrong because starting an IV in an infant’s foot can be painful and difficult to secure.
Choice D is wrong because IV sites should be changed every 72-96 hours or according to facility policy.
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