A nurse is caring for a client who has an infection and a prescription for gentamicin Intermittent IV bolus every 8 hr. A peak and trough are required with the next dose. Which of the following actions should the nurse take to obtain an accurate gentamicin serum level?

Draw a peak level 90 min prior to administering the medication and a trough level 90 min after the dose.

Draw a trough level immediately prior to administering the medication and a peak level 30 min after the

dose.

Draw a trough level at 0900 and a peak level at 2100.

Answer and Explanation

The Correct Answer is B

To obtain an accurate gentamicin serum level, the nurse should draw a trough level immediately before administering the next dose of medication and a peak level 30 minutes after the dose has been administered. The trough level measures the lowest concentration of the medication in the blood, while the peak level measures the highest concentration.

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Correct Answer is D

Explanation

Gout is a type of arthritis caused by a build-up of uric acid crystals in the joints, leading to inﬂammation, pain, and swelling. Allopurinol is a medication used to treat gout by reducing the production of uric acid in the body. It works by inhibiting the enzyme xanthine oxidase, which is responsible for producing uric acid.

Option a, Alprazolam, is a medication used to treat anxiety and panic disorders. It is not used in the treatment of gout.

Option b, Spironolactone, is a medication used to treat high blood pressure, edema, and certain types of hormonal imbalances. It is not used in the treatment of gout.

Option c, Zolpidem, is a medication used to treat insomnia. It is not used in the treatment of gout.

A. The client’s family will also need to take medications to prevent infection. B. A typical course of treatment involves 6 to 9 months of consistent medication use. C. Medications will need to be taken until the Mantoux test is negative. D. Medications will need to be taken for the rest of the client’s life even if the client feels better.

Correct Answer is B

Explanation

Pulmonary tuberculosis (TB) is treated with a combination of antitubercular medications for a period of 6 to 9 months. It is important for the client to take their medications consistently and complete the full course of treatment to ensure that the infection is fully treated and to prevent the development of drug- resistant TB.

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A nurse is caring for a client who has an infection and a prescription for gentamicin Intermittent IV bolus every 8 hr. A peak and trough are required with the next dose. Which of the following actions should the nurse take to obtain an accurate gentamicin serum level?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has developed gout. Which of the following medications should the nurse prepare to administer?

Correct Answer is D

Explanation

A nurse is instructing a client who is newly diagnosed with pulmonary tuberculosis (TB) about the use of antitubercular medications. Which of the following information should the nurse include in the teaching?

Correct Answer is B

Explanation

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A nurse is caring for a client who has an infection and a prescription for gentamicin Intermittent IV bolus every 8 hr. A peak and trough are required with the next dose. Which of the following actions should the nurse take to obtain an accurate gentamicin serum level?

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