The nurse notices that an order for intravenous gentamicin for a newly admitted client is half of the normal dose usually ordered for an adult. Before calling the provider for confirmation of the order, the nurse reviews the client's history to check for which preexisting condition that could have prompted the adjustment to the normal dose?
Antibiotic resistance
Renal disease
Liver disease
Interpatient variation
The Correct Answer is B
A) Antibiotic resistance is not a reason to adjust the dose of gentamicin.
B) Gentamicin is primarily excreted by the kidneys. In the presence of renal disease, the dose may need to be adjusted to prevent toxicity.
C) Liver disease does not directly impact the metabolism or excretion of gentamicin, so it is not typically a factor in dose adjustment.
D) Interpatient variation alone may not prompt a specific dose adjustment; individual patient factors, especially renal function, are crucial in determining gentamicin dosage.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["97.0"]
Explanation
- To answer the question, we need to convert pounds (lb) to kilograms (kg) using the formula: 1 lb = 0.453592 kg
- Multiply the client's weight in lb by 0.453592 to get the weight in kg: 214 lb x 0.453592 kg/lb = 97.049648 kg
- Round the answer to the nearest tenth, or one decimal place: 97.049648 kg ≈ 97.0 kg - The final answer is: The client's weight in kg is 97.0 kg
Correct Answer is B
Explanation
A) Bradycardia is not typically associated with long-term steroid use; it may be more related to factors like anesthesia or surgical stress.
B) Prolonged steroid use increases the risk of thrombosis, and postoperative blood clots are a concern in individuals with a history of long-term steroid use.
C) Steroids can delay wound healing, but in this context of emergency surgery for a ruptured appendix, the primary concern is often the risk of blood clots.
D) Pre-surgical dehydration is a potential concern but is not specifically related to the client's history of steroid use.
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