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 61 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?

A good example of polar molecules can be understood when trying to make a cake. If water and oil are required, they will not mix together. If you put them into a measuring cup, the oil will rise to the top while the water remains on the bottom.

Did you know?

The oldest recorded age was 122. Madame Jeanne Calment was born in France in 1875 and died in 1997. She was a vegetarian and loved olive oil, port wine, and chocolate.

Did you know?

The average person is easily confused by the terms pharmaceutics and pharmacology, thinking they are one and the same. Whereas pharmaceutics is the science of preparing and dispensing drugs (otherwise known as the science of pharmacy), pharmacology is the study of medications.

Did you know?

Tobacco depletes the body of vitamins A, C, and E, which can result in any of the following: dry hair, dry skin, dry eyes, poor growth, night blindness, abscesses, insomnia, fatigue, reproductive system problems, sinusitis, pneumonia, frequent respiratory problems, skin disorders, weight loss, rickets, osteomalacia, nervousness, muscle spasms, leg cramps, extremity numbness, bone malformations, decayed teeth, difficulty in walking, irritability, restlessness, profuse sweating, increased uric acid (gout), joint damage, damaged red blood cells, destruction of nerves, infertility, miscarriage, and many types of cancer.

Did you know?

Long-term mental and physical effects from substance abuse include: paranoia, psychosis, immune deficiencies, and organ damage.

Nurse-patient interaction; nonveral communication Nurse-patient interaction; nonveral communication
Routes of infection for pyelonephritis. Routes of infection for pyelonephritis.
Infection prevention and control Infection prevention and control
Sample prescriptions of drugs for oral herpes infection. Sample prescriptions of drugs for oral herpes infection.
Video: Types of Shock (Part 2 of 2)

For a complete list of videos, visit our video library