Author Question: The nurse is preparing to administer gentamicin (Garamycin) to a patient when he suddenly complains ... (Read 27 times)

james9437 · **on:** Jul 23, 2018

The nurse is preparing to administer gentamicin (Garamycin) to a patient when he suddenly complains of diminished hearing. What action should the nurse take based on this statement?

A) Administer the dosage and notify the physician of the alteration in hearing
B) Hold the dosage and notify the physician of the alteration in hearing
C) Administer the dosage and report the alteration in hearing to the audiologist
D) Hold the dosage and document the finding in the nurses' notes

Question 2

Extreme caution would be necessary with the use of gentamicin in which of the following patients?

A) A patient who is morbidly obese and who has primary hypertension
B) A patient who has chronic renal failure secondary to diabetes mellitus
C) A patient who has bipolar disorder and who is on long-term lithium therapy
D) A patient who has an atrioventricular block

stanleka1 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

B

Answer to Question 2

B
Feedback:
Gentamicin is nephrotoxic, and with impaired renal function, a reduction in dosage is essential. Heart blocks, obesity, and lithium therapy do not severely complicate, or contraindicate, the use of an aminoglycoside.