NCLEX questions for chapter 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? 1.Some hearing loss may have occurred. 2.The confusion is due to the hospital stay. 3.A nutrition consult most likely is needed. 4.The patient has a family history of dementia.

1.

Before administering an aminoglycoside, it is most important for the nurse to assess the patient for a history of what? 1.Myasthenia gravis 2.Asthma 3.Hypertension 4.Diabetes mellitus

1.

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? 1. 8:00 AM 2. 9:00 AM 3. 11:30 AM 4. 12:00 PM

2

The nurse knows that there is an increased risk of ototoxicity in a patient receiving an aminoglycoside if which level is high? 1.Concentration 2.Trough 3. Peak 4.Dose

2.

When administering an aminoglycoside to a patient with myasthenia gravis, it is most important for the nurse to assess what? 1.Deep tendon reflexes 2.Breath sounds 3. Eyelid movement 4. Muscle strength

2.

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? 1.Unsteadiness 2.Vertigo 3.Headache 4.Dizziness

3.

Which statements about ototoxicity and aminoglycosides does the nurse identify as true? (Select all that apply.) 1.The risk of ototoxicity is related primarily to excessive peak levels. 2.The first sign of impending cochlear damage is headache. 3.The first sign of impending vestibular damage is headache. 4. Ototoxicity is largely irreversible. 5. Use of aminoglycosides for less than 10 days is recommended to avoid ototoxicity

3.4.5.

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? 1.White blood cells (WBCs) 2.Glucose 3.Ketones 4.Protein

4.

A patient who is receiving an aminoglycoside develops flaccid paralysis and impaired breathing. Which medication does the nurse anticipate administering? 1.Magnesium sulfate [Epsom salt] 2.Potassium chloride [K-Dur] 3.Sodium bicarbonate [Citrocarbonate] 4.Calcium gluconate [Kalcinate]

4.

Which enteral aminoglycoside would the nurse expect to be ordered preoperatively for a patient having intestinal surgery? 1.Gentamicin 2.Tobramycin 3.Amikacin 4.Neomycin

4.