Author Question: A patient is admitted to the emergency department with bradycardia, diarrhea, and hypotension. He ... (Read 71 times)

SAVANNAHHOOPER23 · **on:** Jul 23, 2018

A patient is admitted to the emergency department with bradycardia, diarrhea, and hypotension. He developed these symptoms while hiking with friends. The friends stated that they were hunting for morel mushrooms.

Based on this information, what assessment should the nurse make?
A) Assess for an insect bite and rash
B) Assess for a head injury and increased ICP
C) Assess for a black widow spider bite
D) Assess for muscarinic agonist poisoning

Question 2

A nurse has informed the laboratory technician that a patient's gentamicin has finished infusing and the technician will soon draw a blood sample to determine the patient's serum drug concentration. Why is assessment of gentamicin levels necessary?

A) To identify possible changes in the patient's serum osmolality
B) To identify whether the drug is at a therapeutic level
C) To identify whether the drug is causing hepatotoxicity
D) To identify possible hemolysis following administration

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

Answer to Question 1

D

Answer to Question 2

B
Feedback:
Measurement of both peak and trough levels of gentamicin helps maintain therapeutic serum levels without excessive toxicity. Gentamicin is nephrotoxic, not hepatotoxic. Hematological changes are not assessed by measuring serum drug levels.