A nurse is caring for a client who has a bacterial infection and is receiving gentamicin. Which of the following actions should the nurse take to minimize the risk of an adverse eﬀect of the medication?

Administer the medicine with food.

Monitor the serum medication levels.

Limit the client’s ﬂuid intake.

Instruct the client to report agitation.

Answer and Explanation

The Correct Answer is B

The correct answer is choice b. Monitor the serum medication levels.

Choice A rationale:

Administering gentamicin with food is not necessary and does not minimize the risk of adverse effects. Gentamicin is typically given intravenously or intramuscularly, and food does not impact its administration or absorption.

Choice B rationale:

Monitoring the serum medication levels is crucial when administering gentamicin. Gentamicin has a narrow therapeutic index, meaning the difference between a therapeutic dose and a toxic dose is small. Regular monitoring helps ensure the drug remains within the safe and effective range, reducing the risk of nephrotoxicity and ototoxicity.

Choice C rationale:

Limiting the client’s fluid intake is not recommended. Adequate hydration is important to help prevent nephrotoxicity, a known adverse effect of gentamicin. Ensuring the client has sufficient fluid intake can help protect kidney function.

Choice D rationale:

Instructing the client to report agitation is not directly related to minimizing the risk of adverse effects of gentamicin. While it is important for clients to report any unusual symptoms, agitation is not a common adverse effect of gentamicin. Monitoring for signs of nephrotoxicity (e.g., decreased urine output) and ototoxicity (e.g., hearing loss, tinnitus) is more relevant.

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Correct Answer is D

Explanation

The correct answer is choice d. I need to apply a sunscreen when I go outside.

Choice A rationale:

Taking over-the-counter antihistamines with dantrolene is not recommended because both can cause drowsiness and increase the risk of side effects.

Choice B rationale:

Dantrolene should be taken regularly as prescribed, not just when spasms are bad, to maintain consistent therapeutic levels and effectiveness.

Choice C rationale:

Muscle strength improvement with dantrolene may take longer than 2 to 3 days. It typically requires a few weeks to see significant benefits.

Choice D rationale:

Dantrolene can cause photosensitivity, making the skin more sensitive to sunlight. Therefore, applying sunscreen when going outside is important to prevent sunburn.

A. This medication is to be applied when the client is experiencing eye pain. B. The medication is to be used for approximately 10 days, followed by a gradual tapering oﬀ. C. The medication will be used until the client’s intraocular pressure returns to normal. D. The medication should be applied on a regular schedule for the rest of the client’s life.

Correct Answer is D

Explanation

Timolol eye drops are used to treat open-angle glaucoma by reducing intraocular pressure. It is important for the client to use the medication regularly as prescribed to maintain control of their condition.

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A nurse is caring for a client who has a bacterial infection and is receiving gentamicin. Which of the following actions should the nurse take to minimize the risk of an adverse eﬀect of the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has multiple sclerosis and a new prescription for dantrolene. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is D

Explanation

A nurse at an ophthalmology clinic is providing teaching to a client who has open-angle glaucoma and a new prescription for timolol eye drops. Which of the following instructions should the nurse provide?

Correct Answer is D

Explanation

Which medication route provides the most rapid onset of a medication but also poses the greatest risk of adverse eﬀect if administered incorrectly?

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