This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: The nurse is admitting to the unit a patient who has just had a minor operation and received a ... (Read 19 times)

kamilo84

  • Sr. Member
  • ****
  • Posts: 495
on: Jul 23, 2018
The nurse is admitting to the unit a patient who has just had a minor operation and received a general anesthetic. The nurse notices that gentamicin (Garamycin) is infusing IV.
 
  Which of the following clinical findings associated with these drug-drug interactions would most alarm the nurse?
  a. Diluted urine
  b. Decreased sensation in the lower extremities
  c. Hyperreflexia
  d. Persistent headache

Question 2

A 68-year-old patient is receiving an aminoglycoside IV for a serious infection. The patient develops heart failure and needs a diuretic. Which medication order would cause the nurse the most concern?
 
  a. Ethacrynic acid (Edecrin)
  b. Hydrochlorothiazide (HCTZ)
  c. Furosemide (Lasix)
  d. Bumetanide (Bumex)


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Sophiapenny

  • Sr. Member
  • ****
  • Posts: 339
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: B
Neuromuscular blockade may occur after IV, intramuscular (IM), and oral administration of gentamicin. The risk of paralysis is increased by concurrent use of neuromuscular blocking agents and general anesthetics. Decreased sensation in the lower extremities may signal paralysis.
Diluted urine is not an effect of drug-drug interactions.
Hyperreflexia would not be anticipated, nor would persistent headache, which might be seen with ototoxicity related to concurrent administration of other ototoxic medications.

Answer to Question 2

ANS: A
The risk of injury to the inner ear is significantly increased by concurrent use of an aminoglycoside and ethacrynic acid, which has ototoxic actions of its own.
Hydrochlorothiazide is not known to have a drug-drug interaction with aminoglycosides, just the loop diuretics.
Combining furosemide and bumetanide with the aminoglycosides appears to cause no more ototoxicity than aminoglycosides alone.


kamilo84

  • Member
  • Posts: 495
Reply 2 on: Jul 23, 2018
YES! Correct, THANKS for helping me on my review

cam1229

  • Member
  • Posts: 329
Reply 3 on: Yesterday
Gracias!

« previous next »
 

Did you know?

Parkinson's disease is both chronic and progressive. This means that it persists over a long period of time and that its symptoms grow worse over time.

Did you know?

Adolescents often feel clumsy during puberty because during this time of development, their hands and feet grow faster than their arms and legs do. The body is therefore out of proportion. One out of five adolescents actually experiences growing pains during this period.

Did you know?

A headache when you wake up in the morning is indicative of sinusitis. Other symptoms of sinusitis can include fever, weakness, tiredness, a cough that may be more severe at night, and a runny nose or nasal congestion.

Did you know?

The highest suicide rate in the United States is among people ages 65 years and older. Almost 15% of people in this age group commit suicide every year.

Did you know?

Warfarin was developed as a consequence of the study of a strange bleeding disorder that suddenly occurred in cattle on the northern prairies of the United States in the early 1900s.

Photograph of an occupational therapist assisting a patient with learning independence in activities Photograph of an occupational therapist assisting a patient with learning independence in activities
A nurse prepares a client for anesthesia and surgery. A nurse prepares a client for anesthesia and surgery.
Helping maintain accurate patient records is a critical part of the medical assistant's work. Helping maintain accurate patient records is a critical part of the medical assistant's work.
Calipers are used to measure the body fat on the triceps of a patient. Calipers are used to measure the body fat on the triceps of a patient.
ROM exercises on a patient’s wrist: extension. ROM exercises on a patient’s wrist: extension.
If P(x,- 3/7) on the unit circle,x can be written as ± r sqrt s / t , r is ≠ 1. The value of ... If P(x,- 3/7) on the unit circle,x can be written as ± r sqrt s / t , r is ≠ 1. The value of ...
Video: Heart Chambers

For a complete list of videos, visit our video library