A nurse is caring for a patient with an infection that is being ...

[jhjkgdfhk]

A nurse is caring for a patient with an infection that is being treated with an aminoglycoside. Which of the following findings would most concern the nurse?
 
  a. Decreased white blood cell count
  b. Proteinuria
  c. Decreased BUN
  d. Concentrated urine

Question 2

Which of the following patients would be at the highest risk for aminoglycoside-induced nephrotoxicity?
 
  a. A 26-year-old woman with persistent headaches and tinnitus
  b. A 26-year-old female newlywed with chronic UTIs
  c. A 72-year-old patient also taking amphotericin B (Fungizone)
  d. A 30-year-old patient with pyelonephritis

[coreycathey]

Answer to Question 1

ANS: B
Aminoglycoside-induced nephrotoxicity usually manifests as acute tubular necrosis. Prominent symptoms are proteinuria, casts in the urine, production of dilute urine, and elevations in the serum creatinine and BUN.
Resolution of infection results in a decrease in the white blood cell count.
The BUN is increased, not decreased, with aminoglycoside-induced nephrotoxicity.
The urine is dilute, not concentrated, with aminoglycoside-induced nephrotoxicity.

Answer to Question 2

ANS: C
The risk of renal damage is increased by concurrent therapy with other nephrotoxic agents, such as amphotericin B, cephalosporins, vancomycin, and aspirin.
This patient should be monitored for ototoxicity.
The patients with UTI and pyelonephritis are not at risk for nephrotoxicity, because nothing indicates kidney damage.

[jhjkgdfhk]

Both answers were spot on, thank you once again

[coreycathey]

Great! Please up vote