The correct answer is B.
Which lab values should you monitor for a patient receiving Gentamicin?
Needed Info: Gentamicin: broad spectrum antibiotic. Side effects: neuromuscular blockage, ototoxic to eighth cranial nerve (tinnitus, vertigo, ataxia, nystagmus, hearing loss), nephrotoxic. Nursing responsibilities: monitor renal function, force fluids, monitor hearing acuity. Draw blood for peak levels 1 hr. after IM and 30 min - 1 hr. after IV infusion, draw blood for trough just before next dose.
Hemoglobin and hematocrit - can cause anemia; less common
BUN and creatinine - CORRECT: nephrotoxic; will see proteinuria, oliguria, hematuria, thirst, increased BUN, decreased creatine clearance
Platelet count and clotting time - do not usually change
Sodium and potassium - hypokalemia infrequent problem
The correct answer is B.
What are the needs of the patient with acute lymphocytic leukemia and thrombocytopenia?
Needed Info: Lymphocytic leukemia, disease characterized by proliferation of immature WBCs. Immature cells unable to fight infection as competently as mature white cells. Treatment: chemotherapy, antibiotics, blood transfusions, bone marrow transplantation. Nursing responsibilities: private room, no raw fruits or vegs, small frequent meals, O2, good skin care.
to a private room so she will not infect other patients and health care workers - poses little or no threat
to a private room so she will not be infected by other patients and health care workers - CORRECT: protects patient from exogenous bacteria, risk for developing infection from others due to depressed WBC count, alters ability to fight infection
to a semiprivate room so she will have stimulation during her hospitalization - should be placed in a room alone
to a semiprivate room so she will have the opportunity to express her feelings about her illness - ensure that patient is provided with opportunities to express feelings about illness
While inserting a nasogastric tube, the nurse should use which of the following protective measures?
Gloves, gown, goggles, and surgical cap.
Sterile gloves, mask, plastic bags, and gown.
Gloves, gown, mask, and goggles.
Double gloves, goggles, mask, and surgical cap.
The correct answer is C.
What is the correct universal precaution?
Strategy: Think about each answer choice. How is each measure protecting the nurse?
Needed Info: Mask, eye protection, face shield protect mucous membrane exposure; used if activities are likely to generate splash or sprays. Gowns used if activities are likely to generate splashes or sprays.
Gloves, gown, goggles, and surgical cap - surgical caps offer protection to hair but aren't required.
Sterile gloves, mask, plastic bags, and gown - plastic bags provide no direct protection and aren't part of universal precautions
Gloves, gown, mask, and goggles - CORRECT: must use universal precautions on ALL patients; prevent skin and mucous membrane exposure when contact with blood or other body fluids is anticipated
Double gloves, goggles, mask, and surgical cap - surgical cap not required; unnecessary to double glove