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Author Question: A child has just returned to the pediatric intensive care unit after having a kidney transplant. ... (Read 50 times)

danielfitts88

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A child has just returned to the pediatric intensive care unit after having a kidney transplant. Which assessment takes priority for this child?
 
  A.
  Level of consciousness
  B.
  Hourly urine output
  C.
  Pain
  D.
  Vital signs

Question 2

A nurse is preparing to administer gentamicin (Garamycin), IV, to a hospitalized child. Before administering the medication, the nurse checks the drug trough level, which is 13 g/mL. Which action by the nurse is the priority for this child?
 
  A.
  Administer the medication.
  B.
  Document the findings.
  C.
  Have the laboratory re-run the specimen.
  D.
  Notify the health-care provider.



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Swizqar

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Answer to Question 1

ANS: B
All assessments are important in a postoperative patient. However, because the child had a kidney transplant, assessment of renal function takes priority.

Answer to Question 2

ANS: D
This trough level is too high (normal is 2 g/mL). Because this drug is nephrotoxic, care must be given to avoid causing acute kidney injury. The nurse notifies the health-care provider about the results and does not administer the medication. Documentation should occur, but is not the priority. Asking the laboratory to re-run the specimen is not warranted.




danielfitts88

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Reply 2 on: Jun 28, 2018
Excellent


kjohnson

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Reply 3 on: Yesterday
Wow, this really help

 

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