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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?

Sodium 137 mEq

Hgb 15 g/

Hct 439

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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Correct Answer is D

Explanation

Choice A rationale:

Hypomagnesemia involves a deficiency of magnesium, and it's not directly related to starting an exercise program while taking lithium.

Choice B rationale:

Hypokalemia involves low levels of potassium, which might not be directly influenced by the client's exercise program.

Choice C rationale:

Hypocalcemia involves low levels of calcium, and exercise is not a primary factor affecting calcium balance.

Choice D rationale:

Hyponatremia involves low levels of sodium in the blood. Starting a new exercise program while taking lithium can lead to increased sweating, potentially causing a loss of sodium. Lithium itself can also impact sodium levels. Monitoring for hyponatremia is important due to its potential impact on lithium toxicity.

A. Red man syndrome B. Hypotension C. Hypoglycemia D. Bradycardia

Correct Answer is B

Explanation

Choice A rationale:

Red man syndrome is associated with vancomycin, not phenytoin.

Choice B rationale:

Hypotension, or low blood pressure, can be an adverse effect of phenytoin.

Choice C rationale:

Hypoglycemia is not a typical adverse effect of phenytoin.

Choice D rationale:

Bradycardia is not a common adverse effect of phenytoin.

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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?

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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?