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

Author Question: A nurse is caring for a patient with an infection that is being treated with an aminoglycoside. ... (Read 71 times)

jhjkgdfhk

  • Hero Member
  • *****
  • Posts: 569
on: Jul 23, 2018
A nurse is caring for a patient with an infection that is being treated with an aminoglycoside. Which of the following findings would most concern the nurse?
 
  a. Decreased white blood cell count
  b. Proteinuria
  c. Decreased BUN
  d. Concentrated urine

Question 2

Which of the following patients would be at the highest risk for aminoglycoside-induced nephrotoxicity?
 
  a. A 26-year-old woman with persistent headaches and tinnitus
  b. A 26-year-old female newlywed with chronic UTIs
  c. A 72-year-old patient also taking amphotericin B (Fungizone)
  d. A 30-year-old patient with pyelonephritis


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

coreycathey

  • Sr. Member
  • ****
  • Posts: 333
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: B
Aminoglycoside-induced nephrotoxicity usually manifests as acute tubular necrosis. Prominent symptoms are proteinuria, casts in the urine, production of dilute urine, and elevations in the serum creatinine and BUN.
Resolution of infection results in a decrease in the white blood cell count.
The BUN is increased, not decreased, with aminoglycoside-induced nephrotoxicity.
The urine is dilute, not concentrated, with aminoglycoside-induced nephrotoxicity.

Answer to Question 2

ANS: C
The risk of renal damage is increased by concurrent therapy with other nephrotoxic agents, such as amphotericin B, cephalosporins, vancomycin, and aspirin.
This patient should be monitored for ototoxicity.
The patients with UTI and pyelonephritis are not at risk for nephrotoxicity, because nothing indicates kidney damage.


jhjkgdfhk

  • Hero Member
  • *****
  • Posts: 569
Reply #2 on: Jul 23, 2018
Both answers were spot on, thank you once again


coreycathey

  • Sr. Member
  • ****
  • Posts: 333
Reply #3 on: Jul 23, 2018
Great! Please up vote :D


« previous next »
 

Did you know?

Astigmatism is the most common vision problem. It may accompany nearsightedness or farsightedness. It is usually caused by an irregularly shaped cornea, but sometimes it is the result of an irregularly shaped lens. Either type can be corrected by eyeglasses, contact lenses, or refractive surgery.

Did you know?

More than nineteen million Americans carry the factor V gene that causes blood clots, pulmonary embolism, and heart disease.

Did you know?

Sildenafil (Viagra®) has two actions that may be of consequence in patients with heart disease. It can lower the blood pressure, and it can interact with nitrates. It should never be used in patients who are taking nitrates.

Did you know?

Not getting enough sleep can greatly weaken the immune system. Lack of sleep makes you more likely to catch a cold, or more difficult to fight off an infection.

Did you know?

People who have myopia, or nearsightedness, are not able to see objects at a distance but only up close. It occurs when the cornea is either curved too steeply, the eye is too long, or both. This condition is progressive and worsens with time. More than 100 million people in the United States are nearsighted, but only 20% of those are born with the condition. Diet, eye exercise, drug therapy, and corrective lenses can all help manage nearsightedness.

Documenting the health history is a crucial step in providing patient care Documenting the health history is a crucial step in providing patient care
Application of an ostomy bag or pouch: B, An ostomy nurse applying an ostomy bag to a stoma; Application of an ostomy bag or pouch: B, An ostomy nurse applying an ostomy bag to a stoma;
Caring for a patient on isolation precautions Caring for a patient on isolation precautions
Diagnostic Imaging Procedures and Conditions Diagnosed or Treated Cont Diagnostic Imaging Procedures and Conditions Diagnosed or Treated Cont
Symptoms of a patient in shock. Symptoms of a patient in shock.
Video: Bond in biological molecules (Ionic, Covalent and Hydrogen bonds)/ How atoms bond?

For a complete list of videos, visit our video library