A patient who is taking gentamicin and a cephalosporin for a ...

[j.rubin]

A patient who is taking gentamicin and a cephalosporin for a postoperative infection requests medication for mild postsurgical pain. The nurse will expect to administer which of the following medications?
 
  a. Acetaminophen
  b. Aspirin
  c. Ibuprofen
  d. Morphine

Question 2

Which of the following best demonstrates the nurse's understanding of how genetics influence drug response when considering individual variations in drug responses?
 
  a. Body weight
  b. Poor kidney function
  c. Cytochrome P-450 response
  d. A drug-drug interaction

[Sophiapenny]

Answer to Question 1

A
Gentamicin and cephalosporins are both nephrotoxic. This patient should avoid taking other po-tentially nephrotoxic drugs. Acetaminophen is not nephrotoxic and may be given for mild pain. Aspirin and ibuprofen are both nephrotoxic. Morphine is not nephrotoxic but is not indicated for mild pain.

Answer to Question 2

C
Cytochrome is dictated genetically and is very individualized.
Body weight may not necessarily be genetic.
Kidney function is a pathophysiologic response.
A drug-drug interaction is not a genetic response.

DIF: Cognitive Level: Analysis REF: p. 4
TOP: Nursing Process: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity: Physiological Adaptation

[j.rubin]

Thanks for the timely response, appreciate it

[aliotak]

TYSM