A nurse is caring for a 4-year-old child ho has meningitis and receiving gentamycin.
Which of the following labratory results should the nurse notify the HCP?
creatinine 1.4
creatinine 0.3
BUN 12
BUN 6
The Correct Answer is A
Choice A rationale
A creatinine level of 1.4 mg/dL is higher than the normal range and could indicate kidney damage, which is a known side effect of gentamicin. Therefore, the nurse should notify the healthcare provider.
Choice B rationale
A creatinine level of 0.3 mg/dL is within the normal range, so it would not typically be a cause for concern.
Choice C rationale
A BUN level of 12 is within the normal range, so it would not typically be a cause for concern.
Choice D rationale
A BUN level of 6 is within the normal range, so it would not typically be a cause for concern.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Administering an antidepressant to the client is an important part of treatment for major depressive disorder. However, it is not the first action the nurse should take.
Choice B rationale
Encouraging the client to attend a group therapy session can be beneficial for the client’s recovery, but it is not the first action the nurse should take.
Choice C rationale
Assisting the client in completing his ADLs can help the client maintain a sense of normalcy and control, but it is not the first action the nurse should take.
Choice D rationale
Asking the client if he is considering harming himself is the first action the nurse should take. This is because safety is the top priority, and the nurse needs to assess the client’s risk for suicide.
Correct Answer is ["A","C"]
Explanation
he correct answer is Choice A, Choice C.
Choice A rationale: Keeping the child away from others until all vesicles have crusted over is essential to prevent the spread of varicella. The child is no longer contagious once the vesicles have crusted, reducing the risk of transmission.
Choice B rationale: Dressing the child in warm clothing is not recommended as it can cause discomfort and aggravate itching. Loose, comfortable clothing should be used to prevent irritation of vesicles and promote healing.
Choice C rationale: Applying calamine lotion to vesicles on the child’s skin can soothe itching and provide relief. It is a safe and effective topical treatment to manage symptoms associated with varicella, ensuring the child remains comfortable.
Choice D rationale: Bathing the child is recommended to maintain hygiene and prevent secondary infections. Using mild soap and lukewarm water can help keep the skin clean and reduce itching, contrary to avoiding baths.
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