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 32 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
Excellent

chereeb

  • Member
  • Posts: 326
Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

« previous next »
 

Did you know?

If you use artificial sweeteners, such as cyclamates, your eyes may be more sensitive to light. Other factors that will make your eyes more sensitive to light include use of antibiotics, oral contraceptives, hypertension medications, diuretics, and antidiabetic medications.

Did you know?

Chronic necrotizing aspergillosis has a slowly progressive process that, unlike invasive aspergillosis, does not spread to other organ systems or the blood vessels. It most often affects middle-aged and elderly individuals, spreading to surrounding tissue in the lungs. The disease often does not respond to conventionally successful treatments, and requires individualized therapies in order to keep it from becoming life-threatening.

Did you know?

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

Did you know?

The use of salicylates dates back 2,500 years to Hippocrates’s recommendation of willow bark (from which a salicylate is derived) as an aid to the pains of childbirth. However, overdosage of salicylates can harm body fluids, electrolytes, the CNS, the GI tract, the ears, the lungs, the blood, the liver, and the kidneys and cause coma or death.

Did you know?

Signs and symptoms that may signify an eye tumor include general blurred vision, bulging eye(s), double vision, a sensation of a foreign body in the eye(s), iris defects, limited ability to move the eyelid(s), limited ability to move the eye(s), pain or discomfort in or around the eyes or eyelids, red or pink eyes, white or cloud spots on the eye(s), colored spots on the eyelid(s), swelling around the eyes, swollen eyelid(s), and general vision loss.

Effects of nursing rounds on patient safety Effects of nursing rounds on patient safety
Nurse palpating the patient's brachial artery Nurse palpating the patient's brachial artery
Cyanosis as shown here at the patient’s fingertips results from a lack of oxygen in the tissues Cyanosis as shown here at the patient’s fingertips results from a lack of oxygen in the tissues
Muscle weakness caused by myasthenia gravis is evident in the eyes of this patient. Muscle weakness caused by myasthenia gravis is evident in the eyes of this patient.
Relative expression times and amounts of cyclins during the cell cycle Relative expression times and amounts of cyclins during the cell cycle
Genomic and fossil evidence has been used to estimate the times of divergence of human and Neanderth Genomic and fossil evidence has been used to estimate the times of divergence of human and Neanderth
Video: Prone Position

For a complete list of videos, visit our video library