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 85 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!

lcapri7

  • Member
  • Posts: 350
Reply 3 on: Yesterday
Great answer, keep it coming :)

« previous next »
 

Did you know?

Although puberty usually occurs in the early teenage years, the world's youngest parents were two Chinese children who had their first baby when they were 8 and 9 years of age.

Did you know?

Adolescents often feel clumsy during puberty because during this time of development, their hands and feet grow faster than their arms and legs do. The body is therefore out of proportion. One out of five adolescents actually experiences growing pains during this period.

Did you know?

Allergies play a major part in the health of children. The most prevalent childhood allergies are milk, egg, soy, wheat, peanuts, tree nuts, and seafood.

Did you know?

In 1885, the Lloyd Manufacturing Company of Albany, New York, promoted and sold "Cocaine Toothache Drops" at 15 cents per bottle! In 1914, the Harrison Narcotic Act brought the sale and distribution of this drug under federal control.

Did you know?

Blood is approximately twice as thick as water because of the cells and other components found in it.

Patient teaching: rectal and anal assessment Patient teaching: rectal and anal assessment
Reputable Websites for Patient Education Reputable Websites for Patient Education
Flow data for a healthy donor (top panel) and a HIV positive patient. CD3 is a T-cell marker, CD4 is ... Flow data for a healthy donor (top panel) and a HIV positive patient. CD3 is a T-cell marker, CD4 is ...
(a) Chicken pox vesicles. (b) Chicken pox on back of young patient. (a) Chicken pox vesicles. (b) Chicken pox on back of young patient.
Head of a patient with tertiary syphilis. Head of a patient with tertiary syphilis.
Portable tabletop equipment that provides support for recipients receiving massage. Portable tabletop equipment that provides support for recipients receiving massage.
Video: Red Blood Cells - Erythropoietin (EPO)

For a complete list of videos, visit our video library