A nurse is caring for a child who is to receive the first dose of IV gentamicin. Which of the following actions should the nurse take?
Monitor for constipation.
Maintain strict 1&O.
Initiate airborne precautions.
Encourage bed rest.
The Correct Answer is B
A. "Monitor for constipation." Constipation is not a common adverse effect of gentamicin. More concerning side effects include nephrotoxicity and ototoxicity.
B. "Maintain strict I&O." Gentamicin can cause nephrotoxicity, so it is essential to monitor intake and output (I&O) closely to assess kidney function and detect early signs of renal impairment.
C. "Initiate airborne precautions." Gentamicin is an antibiotic and does not require airborne precautions. Airborne precautions are used for infections like tuberculosis, measles, and varicella.
D. "Encourage bed rest." Gentamicin does not require bed rest. However, if the child experiences dizziness due to ototoxicity (another adverse effect), activity may need to be limited.
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Related Questions
Correct Answer is D
Explanation
A. "Apply firm pressure to the wound base while removing the gauze dressing." Applying firm pressure can cause pain and damage the wound bed, delaying healing and increasing the risk of bleeding.
B. "Irrigate the wound with half-strength hydrogen peroxide while removing the gauze dressing." Hydrogen peroxide can damage healthy tissue and delay wound healing. It is not recommended for routine wound care.
C. "Continue to remove the gauze dressing by pulling it parallel to the skin." Removing a dry gauze dressing without moistening it can cause trauma to the wound bed, increasing pain and impeding healing.
D. "Saturate the gauze dressing with sterile saline solution prior to removing it." Moistening the dressing with sterile saline reduces trauma to the wound, prevents tissue damage, and minimizes pain. This method is preferred for atraumatic dressing removal.
Correct Answer is A
Explanation
A. 1 cup raw broccoli . Broccoli is a good non-dairy source of calcium, making it suitable for a child with lactose intolerance.
B. One slice white bread. While some breads are fortified with calcium, the amount is typically lower than in broccoli.
C. One poached egg. Eggs contain minimal calcium and are not a significant source.
D. 2 tbsp peanut butter. Peanut butter provides protein and healthy fats, but it is not a rich source of calcium.
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