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 A

Explanation

Neuromuscular-blocking agents paralyze the muscles, including the respiratory muscles. Therefore, it is crucial to ensure that the patient maintains a patent airway and is able to breathe eﬀectively. The nurse should monitor the patient's respiratory rate, depth, and eﬀort, as well as assess for signs of airway obstruction, such as stridor or wheezing.

Skin assessment for rash (option b), blood pressure assessment for orthostatic hypotension (option c), and assessment for ﬂuid volume overload (option d) may also be important assessments for the nurse to obtain, but they are not the most critical assessments when a patient is being treated with a neuromuscular-blocking agent.

A. If I get a fever while taking this medication, I will take some aspirin. B. I need to increase my ﬂuid intake while taking this medication. C. I should take this medicine on an empty stomach. D. If I get a rash from this medication, I will take my usual antihistamine.

Correct Answer is B

Explanation

Allopurinol is a medication used to decrease levels of uric acid in people with gout, or kidney stones, or who are receiving certain types of chemotherapy1. Increasing ﬂuid intake while taking this medication can help prevent the formation of kidney stones.

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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

Which assessment Is most important for the nurse to obtain when a patient is being treated with a neuromuscular-blocking agent?

Correct Answer is A

Explanation

A nurse is providing teaching to a client who has gout and a new prescription for allopurinol. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is B

Explanation

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