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Author Question: A nurse administers topical gentamicin sulfate (Garamycin) to a client's burn injury. Which ... (Read 78 times)

nramada

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on: Jun 25, 2018
A nurse administers topical gentamicin sulfate (Garamycin) to a client's burn injury. Which laboratory value should the nurse monitor while the client is prescribed this therapy?
 
  a. Creatinine
  b. Red blood cells
  c. Sodium
  d. Magnesium

Question 2

A nurse cares for a client with burn injuries from a house fire. The client is not consistently oriented and reports a headache. Which action should the nurse take?
 
  a. Increase the client's oxygen and obtain blood gases.
  b. Draw blood for a carboxyhemoglobin level.
  c. Increase the client's intravenous fluid rate.
  d. Perform a thorough Mini-Mental State Examination.


ApricotDream

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Reply #1 on: Jun 25, 2018
Answer to Question 1

ANS: A
Gentamicin is nephrotoxic, and sufficient amounts can be absorbed through burn wounds to affect kidney function. Any client receiving gentamicin by any route should have kidney function monitored. Topical gentamicin will not affect the red blood cell count or the sodium or magnesium levels.

Answer to Question 2

ANS: B
These manifestations are consistent with moderated carbon monoxide poisoning. This client is at risk for carbon monoxide poisoning because he or she was in a fire in an enclosed space. The other options will not provide information related to carbon monoxide poisoning.


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nramada

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Reply #2 on: Jun 25, 2018
Correct answers!


ApricotDream

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Reply #3 on: Jun 25, 2018
Great! Please up vote :D


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