A nurse is caring for a client who is starting a course of gentamicin IV for a bacterial infection. Which of the following is the correct expected pharmacological action for this medication?

This medication blocks COX-I and COX-2 enzymes.

This medication reduces the production of angiotensin Il by blocking the conversion of angiotensin I to angiotensin Il and increases levels of bradykinin.

This medication is bactericidal antibiotic that destroys microorganisms by disrupting protein synthesis.

This medication blocks the action of angiotensin ll. which results in vasodilation and excretion of sodium and water.

Answer and Explanation

The Correct Answer is C

A. Incorrect: COX-1 and COX-2 enzyme inhibition is the mechanism of NSAIDs (e.g., ibuprofen), not gentamicin.

B. Incorrect: This describes the mechanism of ACE inhibitors (e.g., enalapril), not gentamicin.

C. Correct: Gentamicin is an aminoglycoside antibiotic that inhibits bacterial protein synthesis, leading to bacterial cell death.

D. Incorrect: This describes the action of angiotensin II receptor blockers (ARBs), not gentamicin.

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Correct Answer is C

Explanation

A. Incorrect: Teaching about an incentive spirometer is important for lung expansion but is not the priority before confirming the infection.

B. Incorrect: Monitoring the cough is essential but does not directly lead to a diagnosis.

C. Correct: A sputum culture should be obtained before administering antibiotics to ensure appropriate treatment based on pathogen identification.

D. Incorrect: Administering an antibiotic is important but should be done after obtaining a sputum culture to ensure proper selection of the antimicrobial agent.

A. Opioid toxicity triad B. Achilles tendon rupture C. Photosensitivity D. Yellow or brown tooth discoloration

Correct Answer is ["C","D"]

Explanation

A. Incorrect: Opioid toxicity triad (respiratory depression, coma, pinpoint pupils) is not related to doxycycline.

B. Incorrect: Achilles tendon rupture is a complication of fluoroquinolones, not doxycycline.

C. Correct: Photosensitivity (increased sunburn risk) is a known side effect of doxycycline.

D. Correct: Doxycycline can cause permanent tooth discoloration if taken in children under 8 years old or during pregnancy.

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A nurse is caring for a client who is starting a course of gentamicin IV for a bacterial infection. Which of the following is the correct expected pharmacological action for this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is implementing a plan of care for a client who has a cough with sputum. The nurse suspects that the client has a respiratory infection. What is the nurse's priority?

Correct Answer is C

Explanation

The nurse is caring for a client who is prescribed to treat acne vulgaris. Which Of the following Options are complications of this medication? (Select All That Apply.)

Correct Answer is ["C","D"]

Explanation

A nurse is administering gentamicin by intravenous (IV) route at 0900. The medication will take 60 minutes to infuse. When should the nurse obtain a blood sample for a peak blood level of gentamicin?

A nurse is teaching a client who is beginning a course of metronidazole to treat a sexually transmitted infection (STI). Which of the following responses by the nurse should be included in the client education of this medication?

A nurse is preparing to administer a drug via an intramuscular (IM) route to an adult client who has a bacterial infection. Which actions should the nurse plan to take? (Select All That Apply.)

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A. Incorrect: Deep vein thrombosis (DVT) is not a known complication of isoniazid.