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A nurse is reviewing the laboratory data of a client prior to administering IV tobramycin.
Which of the following laboratory values should the report to the provider?

A.

Sodium 137 mEq

B.

Hgb 15 g/

C.

Hct 439

D.

Creatinine 2.5 mg/dl

Answer and Explanation

The Correct Answer is D

Choice A rationale:

A sodium level of 137 mEq is within a normal range.

Choice B rationale:

A hemoglobin level of 15 g/dL is within a normal range.

Choice C rationale:

A hematocrit level of 43% is within a normal range.

Choice D rationale:

Creatinine 2.5 mg/dL is elevated, indicating possible kidney impairment. Tobramycin is known to be nephrotoxic, and administering it to a patient with impaired kidney function could exacerbate the condition. Therefore, this value should be reported to the provider before administering the medication.


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Related Questions

Correct Answer is A,B,C,D

Explanation

Choice A rationale:

The first step is to remove the medication from the dispensing system. This ensures that the nurse has the right medication and dose for the client. The nurse should also check the label of the medication against the medication administration record (MAR) at this point. Choice B rationale:

The second step is to compare the client's wristband to the MAR. This verifies the client's identity and prevents medication errors. The nurse should use two identifiers, such as name and date of birth, to confirm the client's identity.

Choice C rationale:

The third step is to open the medication package. This prepares the medication for administration and prevents contamination. The nurse should also check the expiration date of the medication before opening it.

Choice D rationale:

The fourth step is to document administration of the medication. This completes the medication administration process and provides a record of the client's care. The nurse should document the medication name, dose, route, time, and any relevant observations or outcomes.

Correct Answer is B

Explanation

Choice A rationale:

Lithium carbonate should be taken with meals to minimize gastrointestinal upset.

Choice B rationale:

Lithium levels can be affected by sodium intake, so decreasing sodium intake can help prevent lithium toxicity.

Choice C rationale:

Tyramine is not typically restricted in clients taking lithium.

Choice D rationale:

Swelling of the feet is not a common adverse effect of lithium carbonate.

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