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

Author Question: The nurse is caring for a 70-kg patient who is receiving gentamicin (Garamycin) 85 mg 4 times daily. ... (Read 31 times)

mp14

  • Hero Member
  • *****
  • Posts: 534
on: Jul 23, 2018
The nurse is caring for a 70-kg patient who is receiving gentamicin (Garamycin) 85 mg 4 times daily. The patient reports experiencing ringing in the ears. The nurse will contact the provider to discuss
 
  a. decreasing the dose to 50 mg QID.
  b. giving the dose 3 times daily.
  c. obtaining a serum drug level.
  d. ordering a hearing test.

Question 2

The nurse is providing discharge teaching for a patient who will receive oral levofloxacin (Levaquin) to treat pneumonia.
 
  The patient takes an oral hypoglycemic medication and uses over-the-counter (OTC) antacids to treat occasional heartburn. The patient reports frequent arthritis pain and takes acetaminophen when needed. Which statement by the nurse is correct when teaching this patient?
  a. You may take antacids with levofloxacin to decrease gastrointestinal upset.
  b. You may take nonsteroidal anti-inflammatory medications (NSAIDs) for arthritis pain.
  c. You should monitor your serum glucose more closely while taking levofloxacin.
  d. You should take levofloxacin on an empty stomach to improve absorption.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

elyse44

  • Sr. Member
  • ****
  • Posts: 319
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: C
Aminoglycosides can cause ototoxicity. Any changes in hearing should be reported to the provider so that serum drug levels can be monitored. The dose is correct for this patient's weight (5 mg/kg/day in 4 divided doses). A hearing test is not indicated unless changes in hearing persist.

Answer to Question 2

ANS: C
Levofloxacin may increase the effects of oral hypoglycemic medications, so patients taking these should be advised to monitor their serum glucose levels closely. Antacids decrease the absorption of levofloxacin. NSAIDs taken with levofloxacin can cause central nervous system reactions, including seizures.


mp14

  • Member
  • Posts: 534
Reply 2 on: Jul 23, 2018
Gracias!

cassie_ragen

  • Member
  • Posts: 347
Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

« previous next »
 

Did you know?

Although the Roman numeral for the number 4 has always been taught to have been "IV," according to historians, the ancient Romans probably used "IIII" most of the time. This is partially backed up by the fact that early grandfather clocks displayed IIII for the number 4 instead of IV. Early clockmakers apparently thought that the IIII balanced out the VIII (used for the number 8) on the clock face and that it just looked better.

Did you know?

Anesthesia awareness is a potentially disturbing adverse effect wherein patients who have been paralyzed with muscle relaxants may awaken. They may be aware of their surroundings but unable to communicate or move. Neurologic monitoring equipment that helps to more closely check the patient's anesthesia stages is now available to avoid the occurrence of anesthesia awareness.

Did you know?

Most women experience menopause in their 50s. However, in 1994, an Italian woman gave birth to a baby boy when she was 61 years old.

Did you know?

Cutaneous mucormycosis is a rare fungal infection that has been fatal in at least 29% of cases, and in as many as 83% of cases, depending on the patient's health prior to infection. It has occurred often after natural disasters such as tornados, and early treatment is essential.

Did you know?

More than 150,000 Americans killed by cardiovascular disease are younger than the age of 65 years.

Schematic of an automated external defibrillator (AED) attached to a patient. Schematic of an automated external defibrillator (AED) attached to a patient.
THE DIMENSIONS OF PATIENT-CENTERED CARE THE DIMENSIONS OF PATIENT-CENTERED CARE
Positioning the Patient in the Fowler’s Position Positioning the Patient in the Fowler’s Position
Tumor marker analysis of a patient undergoing therapy, who (1) after surgery had residual disease ... Tumor marker analysis of a patient undergoing therapy, who (1) after surgery had residual disease ...
You Need to Consume Carbohydrates Daily You Need to Consume Carbohydrates Daily
A solution of CaCl2 with concentration of 5.5 M was diluted 10 times, 25 times and 3 times. ... A solution of CaCl2 with concentration of 5.5 M was diluted 10 times, 25 times and 3 times. ...
Video: Acid-base imbalances - metabolic acidosis and alkalosis

For a complete list of videos, visit our video library