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 31 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?

Your skin wrinkles if you stay in the bathtub a long time because the outermost layer of skin (which consists of dead keratin) swells when it absorbs water. It is tightly attached to the skin below it, so it compensates for the increased area by wrinkling. This happens to the hands and feet because they have the thickest layer of dead keratin cells.

Did you know?

Stroke kills people from all ethnic backgrounds, but the people at highest risk for fatal strokes are: black men, black women, Asian men, white men, and white women.

Did you know?

Though newer “smart” infusion pumps are increasingly becoming more sophisticated, they cannot prevent all programming and administration errors. Health care professionals that use smart infusion pumps must still practice the rights of medication administration and have other professionals double-check all high-risk infusions.

Did you know?

Human neurons are so small that they require a microscope in order to be seen. However, some neurons can be up to 3 feet long, such as those that extend from the spinal cord to the toes.

Did you know?

Every 10 seconds, a person in the United States goes to the emergency room complaining of head pain. About 1.2 million visits are for acute migraine attacks.

Tattoos and Body Piercings: This patient developed cellulitis from tattoo ink Tattoos and Body Piercings: This patient developed cellulitis from tattoo ink
Example of problem focused patient Example of problem focused patient
Normal defese mechanisms against infection Normal defese mechanisms against infection
Pigmented bands in nail of patient with dark skin Pigmented bands in nail of patient with dark skin
Example of a patient’s ledger in practice management software. Example of a patient’s ledger in practice management software.
ROM exercises on a patient’s wrist: extension. ROM exercises on a patient’s wrist: extension.
Video: Introduction to Autism

For a complete list of videos, visit our video library