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

Author Question: A patient is admitted with glomerulonephritis. IV gentamicin therapy is started after cultures ... (Read 32 times)

ARLKQ

  • Hero Member
  • *****
  • Posts: 571
on: Jul 24, 2018
A patient is admitted with glomerulonephritis. IV gentamicin therapy is started after cultures indicate gram-negative bacilli in the blood. The patient also receives IV furosemide (Lasix).
 
  The nurse will monitor for signs and symptoms of toxicity related to which organ?
  a. Kidneys
  b. Pancreas
  c. Liver
  d. Brain

Question 2

A patient is scheduled to take tetracycline and aluminum hydroxide (Amphojel) at the same time. When will the nurse administer the medications to achieve the optimal effects?
 
  a. Both medications together
  b. Amphojel 30 minutes before tetracycline
  c. Tetracycline with orange juice
  d. Tetracycline 1 hour before Amphojel


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

CourtneyCNorton

  • Sr. Member
  • ****
  • Posts: 317
Reply #1 on: Jul 24, 2018
Answer to Question 1

ANS: A
The results of urinalysis and kidney function tests should be closely monitored when a patient is on aminoglycoside therapy. Patients also receiving cephalosporins, enflurane, methoxyflurane, vancomycin, and diuretics, when combined with aminoglycosides, have a greater potential for nephrotoxicity. The pancreas is not vulnerable to damage from aminogylcosides. Bone marrow suppression is a result of toxicity from treatment with chloramphenicol. Central nervous system toxicities may result from toxic effects of treatment with aminoglycosides but are not related to interactions between the antibiotic and diuretics.

Answer to Question 2

ANS: D
For optimal effectiveness, tetracyclines should be administered 1 hour before or 2 hours after ingesting antacids, milk, or other dairy products or products containing calcium, aluminum, magnesium, or iron. Taking the drugs this closely together will most likely inhibit absorption of the antibiotic. Tetracycline does not tend to interact with orange juice, but the beverage may be contraindicated in a patient who needs to take antacids.


ARLKQ

  • Member
  • Posts: 571
Reply 2 on: Jul 24, 2018
Great answer, keep it coming :)

covalentbond

  • Member
  • Posts: 336
Reply 3 on: Yesterday
Excellent

« previous next »
 

Did you know?

Atropine was named after the Greek goddess Atropos, the oldest and ugliest of the three sisters known as the Fates, who controlled the destiny of men.

Did you know?

Hippocrates noted that blood separates into four differently colored liquids when removed from the body and examined: a pure red liquid mixed with white liquid material with a yellow-colored froth at the top and a black substance that settles underneath; he named these the four humors (for blood, phlegm, yellow bile, and black bile).

Did you know?

Opium has influenced much of the world's most popular literature. The following authors were all opium users, of varying degrees: Lewis Carroll, Charles, Dickens, Arthur Conan Doyle, and Oscar Wilde.

Did you know?

Astigmatism is the most common vision problem. It may accompany nearsightedness or farsightedness. It is usually caused by an irregularly shaped cornea, but sometimes it is the result of an irregularly shaped lens. Either type can be corrected by eyeglasses, contact lenses, or refractive surgery.

Did you know?

Interferon was scarce and expensive until 1980, when the interferon gene was inserted into bacteria using recombinant DNA technology, allowing for mass cultivation and purification from bacterial cultures.

Physical therapist assisting a patient to walk in the parallel bars. Physical therapist assisting a patient to walk in the parallel bars.
Cirrhosis. Cirrhosis is characterized by a chronic deterioration of the liver, replacing healthy cel Cirrhosis. Cirrhosis is characterized by a chronic deterioration of the liver, replacing healthy cel
Patient teaching: nose and sinus assessment Patient teaching: nose and sinus assessment
Instructing a Patient on Breast Self-Examination Instructing a Patient on Breast Self-Examination
Inhalers used to deliver asthmatic drugs: (a) Metered-dose inhaler. The patient times the inhalation ... Inhalers used to deliver asthmatic drugs: (a) Metered-dose inhaler. The patient times the inhalation ...
Towels have many uses during a massage therapy session. Towels have many uses during a massage therapy session.
Video: Oogenesis Animation

For a complete list of videos, visit our video library