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 C

Explanation

A competitive neuromuscular blocking agent can cause respiratory depression and compromise the client’s ability to clear secretions. Therefore, it is important to have suction equipment readily available at the bedside to assist with airway clearance if needed.

A. "Let me check your medication order again." B. "This is the medication that your doctor wants you to take." C. "Let me explain the purpose of the medication." D. "Sometimes the same pill comes in a diﬀerent colour."

Correct Answer is A

Explanation

When a client expresses confusion or uncertainty about their medication, the nurse should always verify the medication order to ensure that the correct medication is being administered. Option (a) is the best response in this scenario because it addresses the client's concern and ensures the medication being given is the correct one.

Option (b) stating that "this is the medication that your doctor wants you to take" does not address the

client's concern and may cause the client to feel dismissed.

Option (c) suggesting to "let me explain the purpose of the medication" is not necessary at this time since

the client is already aware of the purpose and is only concerned about the colour of the pill.

Option (d) stating that "sometimes the same pill comes in a diﬀerent colour" is not appropriate because it does not address the issue of the client's confusion about the current pill being administered.

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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

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