A nurse is caring for a client receiving gentamicin. For which of the following should the nurse monitor the client?

Tinnitus

Tachycardia

Polyuria

Photophobia

Answer and Explanation

The Correct Answer is A

A. Tinnitus: Gentamicin is an aminoglycoside antibiotic that can cause ototoxicity, which includes symptoms such as tinnitus (ringing in the ears).
B. Tachycardia: This is not a typical adverse effect of gentamicin.
C. Polyuria: Gentamicin does not commonly cause increased urine output.
D. Photophobia: This is not a known side effect of gentamicin.

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Correct Answer is B

Explanation

A. WBC: White blood cell count is unrelated to warfarin therapy.
B. INR: Warfarin’s anticoagulant effect is monitored using the International Normalized Ratio (INR). A therapeutic INR range is typically 2–3 for most indications.
C. Platelets: While platelets are important for overall clotting, INR is the specific measure for warfarin.
D. APTT: Activated partial thromboplastin time (APTT) is used to monitor heparin, not warfarin.

A. "I will ask your provider to increase the dose of the medication." B. "You will need to take this medication on an empty stomach for it to be more effective." C. “you will need to wait a couple of weeks to feel the therapeutic effect of the medication." D. "I will inform your provider so they can prescribe a different medication."

Correct Answer is C

Explanation

A. Increasing the dose too soon is inappropriate; therapeutic effects take time to manifest.
B. Amitriptyline can be taken with or without food; stomach contents do not affect its efficacy.
C. Most antidepressants, including amitriptyline, require 2-4 weeks for therapeutic effects. The client needs reassurance and education.
D. Switching medications prematurely is unnecessary unless severe side effects occur.

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A nurse is caring for a client receiving gentamicin. For which of the following should the nurse monitor the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer a daily dose of warfarin to a client. Which of the following laboratory values should the nurse check prior to administration?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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