RN 104 Exam 4
A nurse is assessing a client who is receiving I gentamicin 3 times daily. Which of the following findings indicates that the client is experiencing an adverse effect of this medication? A. Hypoglycemia B. Proteinuria C. Nasal congestion D. Visual disturbances
B. Proteinuria Proteinuria is a manifestation of nephrotoxicity, an adverse effect of gentamicin. The nurse should monitor for oliguria and hematuria. Incorrect Answers: Peer Comparison
A nurse is planning care for a client who is receiving gentamicin IM and has a new prescription to obtain gentamicin peak and trough levels. At which of the following times should the nurse plan to obtain a blood sample to evaluate? A. 1 hour after administering the IM injection B. Just before administering the IM injection C. 12 hours after the last IM injection D. 30 minutes after administering the IM injection
A. 1 hr after administering
A nurse is providing teaching to a group of new parents about medications. The nurse should include that aspirin is contraindicated for children who have a viral infection due to the risk of developing which of the following adverse effects? A. Reve's syndrome B. Visual disturbances C. Diabetes mellitus D. Wilms' tumor
A. Reyes Syndrome
A nurse is reviewing the medical record of a client who might have hearing loss. Which of the following data from the client's medical record should the nurse identify as a risk factor for hearing loss? A. Frequent use of steroids B. Chronic use of salicylates C.Intermittent use of antacids D. Habitual use of laxatives
B. Chronic use of salicylates Salicylates (Aspirin) lead to ototoxicity like Tinnitus or hearing loss
A nurse is monitoring a client who has asthma, takes albuterol, and recently started taking propranolol to treat a cardiovascular disorder. The client reports that the albuterol has been less effective. Which of the following factors should the nurse identify as a possible explanation for this change? A. Potentiative interaction B. Detrimental inhibitory interaction C. Increased adverse reaction D. Toxicity-reducing inhibitory interaction
B. Detrimental Inhibitory Interaction A detrimental inhibitory interaction can occur with the concurrent use of propranolol and albuterol. When a client takes propranolol and albuterol together, propranolol can interfere with albuterol's therapeutic effects
A nurse is providing teaching to the parents of a school-age child with asthma about medications for bronchospasm. Which of the following inhaled medications should the nurse instruct the parents to use to relieve an acute asthma attack? A. Salmeterol B. Cromolyn C. Fluticasone D. Albuterol
D. Albuterol
A nurse is caring for a client who is experiencing an acute asthma exacerbation. Which of the following medications should the nurse identify as being contraindicated for this client? A. Dextromethorphan B. Montelukast C. Ciprofloxacin D. Propranolol
D. Propranolol Contraindicated for asthma PT b/c it's a beta-blocker and prevents action from beta agonist like Albuterol
