Author Question: A patient is receiving tobramycin 3 times daily. The provider has ordered a trough level with the ... (Read 63 times)

sheilaspns

  • Hero Member
  • *****
  • Posts: 567
A patient is receiving tobramycin 3 times daily. The provider has ordered a trough level with the 8:00 AM dose. The nurse will ensure that the level is drawn at what time?
 
  a. 4:00 AM
  b. 7:00 AM
  c. 7:45 AM
  d. 8:45 AM

Question 2

A nurse is explaining to nursing students why a cephalosporin is used in conjunction with an aminoglycoside for a patient with an infection. Which statement by a student indicates understanding of the teaching?
 
  a. Cephalosporins enhance the actions of aminoglycosides by weakening bacterial cell walls.
  b. Cephalosporins prevent neuromuscular blockade associated with aminoglycosides.
  c. Cephalosporins prolong the postantibiotic effects of the aminoglycosides so doses can be decreased.
  d. Cephalosporins reduce bacterial resistance to aminoglycosides.



yasmin

  • Sr. Member
  • ****
  • Posts: 319
Answer to Question 1

ANS: C
When a patient is receiving divided doses of an aminoglycoside, the trough level should be drawn just before the next dose; therefore, 7:45 AM would be the appropriate time. It would not be appropriate to draw a trough at the other times listed.

Answer to Question 2

ANS: A
Cephalosporins, penicillins, and vancomycin can be used in conjunction with aminoglycosides; these drugs weaken the bacterial cell wall and enhance the bactericidal actions of aminoglycosides. Cephalosporins do not prevent neuromuscular blockade. They do not prolong the postantibiotic effects of aminoglycosides. They do not affect bacterial resistance.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
 

Did you know?

When intravenous medications are involved in adverse drug events, their harmful effects may occur more rapidly, and be more severe than errors with oral medications. This is due to the direct administration into the bloodstream.

Did you know?

Lower drug doses for elderly patients should be used first, with titrations of the dose as tolerated to prevent unwanted drug-related pharmacodynamic effects.

Did you know?

According to the Migraine Research Foundation, migraines are the third most prevalent illness in the world. Women are most affected (18%), followed by children of both sexes (10%), and men (6%).

Did you know?

Fatal fungal infections may be able to resist newer antifungal drugs. Globally, fungal infections are often fatal due to the lack of access to multiple antifungals, which may be required to be utilized in combination. Single antifungals may not be enough to stop a fungal infection from causing the death of a patient.

Did you know?

Patients who have been on total parenteral nutrition for more than a few days may need to have foods gradually reintroduced to give the digestive tract time to start working again.

For a complete list of videos, visit our video library