A child has just returned to the pediatric intensive care unit ...

[danielfitts88]

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.

[Swizqar]

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]

Thanks for the timely response, appreciate it

[kusterl]

TYSM