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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
IV bolus administration of potassium is not appropriate due to the risk of cardiac arrhythmias.
Choice B rationale:
The formulation of potassium (potassium chloride) is appropriate for IV administration.
Choice C rationale:
Potassium chloride is typically diluted in normal saline (0.9% sodium chloride) for IV administration, not dextrose.
Choice D rationale:
The prescribed infusion rate of 30 mEq of potassium chloride over 30 minutes is too rapid and could lead to adverse effects, such as cardiac arrhythmias. The nurse should clarify the prescription and discuss a slower infusion rate with the provider.
Correct Answer is C
Explanation
Choice A rationale:
Bradycardia (slow heart rate) is not a primary concern when administering lisinopril.
Choice B rationale:
Hypokalemia (low potassium levels) can be a concern with certain medications, but it is not directly related to lisinopril administration.
Choice C rationale:
Lisinopril is an angiotensin-converting enzyme (ACE) inhibitor commonly used to treat heart failure. One of the potential side effects of ACE inhibitors is hypotension (low blood pressure), so the nurse should monitor the client's blood pressure closely during and after administration.
Choice D rationale:
Tinnitus (ringing in the ears) is not a common side effect of lisinopril.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.