This topic contains a solution. Click here to go to the answer

Author Question: A patient admitted with an infected right stump secondary to a below-the-knee amputation (BKA) also ... (Read 73 times)

casperchen82

  • Hero Member
  • *****
  • Posts: 540
A patient admitted with an infected right stump secondary to a below-the-knee amputation (BKA) also has heart failure. The patient is taking gentamicin (Garamycin) and furosemide (Lasix). What patient education should the nurse include?
 
  a. Report any ringing in the ears or dizziness.
  b. Report frequent nocturia.
  c. Elevate the affected extremity.
  d. Immediately report any tendon tenderness.

Question 2

A nurse is caring for a patient with meningitis who is receiving spironolactone (Aldactone). A prescriber writes an order for potassium penicillin. What considerations should the nurse focus on prior to administration?
 
  a. Obtain the blood pressure.
  b. Obtain the serum potassium levels.
  c. Assess the level of consciousness.
  d. Assess the serum sodium levels.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Chelseyj.hasty

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

ANS: A
The risk of furosemide-induced hearing loss is increased by concurrent use of other ototoxic drugs, especially aminoglycoside antibiotics, such as gentamicin. Ringing in the ears or dizziness may indicate impending or actual cochlear damage.
Some nocturia may be expected, especially if furosemide is given late in the evening.
Elevating the extremity helps alleviate swelling but does not address the intent of the question.
Tendonitis is not associated with aminoglycoside or diuretic therapy.

Answer to Question 2

ANS: B
Obtaining potassium levels is essential with a potassium-sparing diuretic, such as spironolactone. If the patient has evidence of hyperkalemia, the medication should be held and the prescriber notified.
Obtaining the patient's blood pressure is more important when one of the more rapidly working diuretics (e.g., furosemide) is used to treat edema secondary to pulmonary edema or heart failure.
Level of consciousness would not be a consideration prior to administration of spironolactone.
Serum sodium levels are not important as they relate to the administration of spironolactone.



casperchen82

  • Hero Member
  • *****
  • Posts: 540
Both answers were spot on, thank you once again




 

Did you know?

As many as 28% of hospitalized patients requiring mechanical ventilators to help them breathe (for more than 48 hours) will develop ventilator-associated pneumonia. Current therapy involves intravenous antibiotics, but new antibiotics that can be inhaled (and more directly treat the infection) are being developed.

Did you know?

In the United States, there is a birth every 8 seconds, according to the U.S. Census Bureau's Population Clock.

Did you know?

HIV testing reach is still limited. An estimated 40% of people with HIV (more than 14 million) remain undiagnosed and do not know their infection status.

Did you know?

Normal urine is sterile. It contains fluids, salts, and waste products. It is free of bacteria, viruses, and fungi.

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.

For a complete list of videos, visit our video library