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

Dyspnea (difficulty breathing), an increased respiratory rate, and cyanosis (bluish discolouration of the skin and mucous membranes due to lack of oxygen) are early signs of respiratory distress that the nurse should assess for in a patient who has been given a neuromuscular-blocking agent. These medications can cause respiratory depression and compromise the patient’s ability to breathe eﬀectively.

A. Administer the medications by touching the tip of the dropper to the sclera of the eye B. Hold the pressure on the conjunctiva sac for 2 mm following application of drops C. Administer the mediations 5 mm apart. D. It is not necessary to remove contact lenses before administering medications.

Correct Answer is C

Explanation

According to Mayo Clinic, if you are using more than one eye product, you should apply these medicines at least 5 minutes apart1. None of the other options are listed as instructions for administering timolol and pilocarpine eye drops.

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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 symptoms will be most important for the nurse to assess for early signs of respiratory distress in the patient who has been given a neuromuscular-blocking agent?

Correct Answer is A

Explanation

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

Correct Answer is C

Explanation

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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?

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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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