A nurse is preparing to administer flucytosine to a client who has a systemic fungal infection.
Which of the following assessments should the nurse perform before giving this medication? (Select all that apply.).
Liver function tests
Renal function tests
Blood pressure
Complete blood count
Electrocardiogram.
Correct Answer : B,D
Flucytosine can cause bone marrow suppression and renal toxicity, so the nurse should monitor the client’s renal function tests and complete blood count before giving this medication.
These tests can help detect any signs of anemia, leukopenia, thrombocytopenia, or impaired kidney function that may require dose adjustment or discontinuation of the drug.
Choice A is wrong because flucytosine does not affect liver function significantly. Choice C is wrong because flucytosine does not cause changes in blood pressure. Choice E is wrong because flucytosine does not affect cardiac function or cause arrhythmias.
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Related Questions
Correct Answer is ["A","B"]
Explanation
Gentamicin is an aminoglycoside antibiotic that can causeototoxicity(damage to the inner ear) andnephrotoxicity(damage to the kidneys) as serious side effects. These effects may be irreversible and can occur even at therapeutic doses. Therefore, the nurse should monitor the client’s hearing, balance, urine output, and blood tests for kidney function while on this drug.
Choice C is wrong because gentamicin does not causehepatotoxicity(damage to the liver).
This is more common with other antibiotics such as isoniazid or rifampin.
Choice D is wrong because gentamicin does not causeneuromuscular blockade(paralysis of muscles).
This is more common with other aminoglycosides such as neomycin or tobramycin.
Choice E is wrong because gentamicin does not causethrombocytopenia(low platelet count).
This is more common with other drugs such as heparin or sulfonamides.
Correct Answer is ["B","D"]
Explanation
Flucytosine can cause bone marrow suppression and renal toxicity, so the nurse should monitor the client’s renal function tests and complete blood count before giving this medication.
These tests can help detect any signs of anemia, leukopenia, thrombocytopenia, or impaired kidney function that may require dose adjustment or discontinuation of the drug.
Choice A is wrong because flucytosine does not affect liver function significantly.Choice C is wrong because flucytosine does not cause changes in blood pressure.Choice E is wrong because flucytosine does not affect cardiac function or cause arrhythmias.
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