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 B
Explanation
Choice A rationale
Increased urine output is not a typical indication of effective chest physiotherapy treatment in a child with cystic fibrosis.
Choice B rationale
Increased expectoration, or coughing up and spitting out mucus, is a sign that chest physiotherapy is effective. The goal of chest physiotherapy is to help clear the thick, sticky mucus from the lungs of children with cystic fibrosis.
Reduced pain is not a typical indication of effective chest physiotherapy treatment in a child with cystic fibrosis.
Choice D rationale
An increased heart rate is not a typical indication of effective chest physiotherapy treatment in a child with cystic fibrosis.
Correct Answer is ["2.2"]
Explanation
Step 1 is to calculate the total dose of ondansetron required. This is done by multiplying the child’s weight by the dose per kilogram. So, 29.4 kg × 0.15 mg/kg = 4.41 mg.
Step 2 is to calculate the volume of the solution required. This is done by dividing the total dose by the concentration of the solution. So, 4.41 mg ÷ (4 mg/2 mL) = 2.205 mL. The final calculated answer is that the nurse should administer approximately 2.2 mL of the ondansetron solution.
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