A patient taking somatropin growth hormone needs to be educated on signs and symptoms of hyperglycemia. What will the nurse include in this teaching? SELECT ALL THAT APPLY

To calculate the amount of tobramycin that the nurse should administer per dose, we can use the following steps:

Calculate the total daily dosage required based on the client's weight and the prescribed dosage.

Determine the dosage per each of the three divided doses.

Calculate the volume of the drug needed for each dose using the concentration of the available tobramycin solution.

Given:

Client's weight = 85 kg

Prescribed dosage = 3 mg/kg/day

Available concentration of tobramycin = 40 mg/mL

Let's calculate step by step:

Calculate the total daily dosage required:

Total daily dosage = 3 mg/kg/day × 85 kg = 255 mg/day

Determine the dosage per each of the three divided doses:

Dosage per dose = Total daily dosage / 3 = 255 mg / 3 = 85 mg

Calculate the volume of the drug needed for each dose using the concentration of the available tobramycin solution:

Volume of drug per dose = Dosage per dose / Concentration of tobramycin

Volume of drug per dose = 85 mg / 40 mg/mL ≈ 2.1 mL

Rounding to the nearest tenth, the nurse should administer 2.1 mL of the tobramycin per dose.

Choice A reason: This choice is incorrect because fluids should not be limited to 1000 mL daily for a client taking hydrochlorothiazide. Hydrochlorothiazide is a diuretic that causes the body to lose water and salt through urine. Limiting fluids can lead to dehydration, electrolyte imbalance, and kidney damage. The client should drink enough fluids to prevent thirst and dry mouth, and follow the doctor's advice on fluid intake.

Choice B reason: This choice is incorrect because this medication is not best taken at night for a client taking hydrochlorothiazide. Hydrochlorothiazide can cause frequent urination, which can disrupt the sleep cycle and cause fatigue. The client should take this medication in the morning or at least 4 hours before bedtime to avoid nocturia (nighttime urination).

Choice C reason: This choice is incorrect because dairy products should not be avoided while on this medication for a client taking hydrochlorothiazide. Hydrochlorothiazide can lower the level of calcium in the blood, which can cause muscle weakness, cramps, and osteoporosis. Dairy products are a good source of calcium and can help prevent calcium deficiency. The client should consume adequate amounts of calcium and vitamin D, and have their blood calcium level checked regularly.

Choice D reason: This choice is correct because the client should consume high potassium foods such as bananas and oranges while on this medication. Hydrochlorothiazide can lower the level of potassium in the blood, which can cause irregular heartbeat, muscle weakness, and numbness. Potassium-rich foods can help prevent potassium deficiency and maintain normal heart and muscle function. The client should also have their blood potassium level checked regularly and avoid salt substitutes that contain potassium.