Ch 87
A patient is receiving an aminoglycoside (tobramycin) antibiotic. A nurse asks the patient to choose daily meal selections, to which the patient responds, "Oh, dear, I don't want another IV." The nurse makes which assessment about the patient's response? A Some hearing loss may have occurred. B The confusion is due to the hospital stay. C A nutrition consult most likely is needed. D The patient has a family history of dementia.
A
Before administering an aminoglycoside, it is most important for the nurse to assess the patient for a history of what? A Myasthenia gravis B Asthma C Hypertension D Diabetes mellitus
A
A nurse is administering a daily dose of tobramycin at 1000. At which time should the nurse obtain the patient's blood sample to determine the trough level? A 8:00 AM B 9:00 AM C 11:30 AM D 12:00 PM
B
Which statements about ototoxicity and aminoglycosides does the nurse identify as true? (Select all that apply.) A The risk of ototoxicity is related primarily to excessive peak levels. B The first sign of impending cochlear damage is headache. C The first sign of impending vestibular damage is headache. D Ototoxicity is largely irreversible. E Use of aminoglycosides for less than 10 days is recommended to avoid ototoxicity.
CDE
A patient who is receiving an aminoglycoside (gentamicin) has a urinalysis result with all of these findings. Which finding should a nurse associate most clearly with an adverse effect of gentamicin? A White blood cells (WBCs) B Glucose C Ketones D Protein
D
Which enteral aminoglycoside would the nurse expect to be ordered preoperatively for a patient having intestinal surgery? A Gentamicin B Tobramycin C Amikacin D Neomycin
D
The nurse knows that there is an increased risk of ototoxicity in a patient receiving an aminoglycoside if which level is high? A Concentration B Trough C Peak D Dose
B
When administering an aminoglycoside to a patient with myasthenia gravis, it is most important for the nurse to assess what? A Deep tendon reflexes B Breath sounds C Eyelid movement D Muscle strength
B
A nurse monitors a patient who is receiving an aminoglycoside (gentamicin) for symptoms of vestibular damage. Which finding should the nurse expect the patient to have first? A Unsteadiness B Vertigo C Headache D Dizziness
C
A patient who is receiving an aminoglycoside develops flaccid paralysis and impaired breathing. Which medication does the nurse anticipate administering? A Magnesium sulfate [Epsom salt] B Potassium chloride [K-Dur] C Sodium bicarbonate [Citrocarbonate] D Calcium gluconate [Kalcinate]
D
