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A nurse is reviewing the laboratory data of a client prior to administering IV tobramycin.
Which of the following laboratory values should the report to the provider?

Sodium 137 mEq

Hgb 15 g/

Hct 439

Creatinine 2.5 mg/dl

Answer and Explanation

The Correct Answer is D

Choice A rationale:

A sodium level of 137 mEq is within a normal range.

Choice B rationale:

A hemoglobin level of 15 g/dL is within a normal range.

Choice C rationale:

A hematocrit level of 43% is within a normal range.

Choice D rationale:

Creatinine 2.5 mg/dL is elevated, indicating possible kidney impairment. Tobramycin is known to be nephrotoxic, and administering it to a patient with impaired kidney function could exacerbate the condition. Therefore, this value should be reported to the provider before administering the medication.

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Correct Answer is B

Explanation

Choice A rationale:

Red man syndrome is associated with vancomycin, not phenytoin.

Choice B rationale:

Hypotension, or low blood pressure, can be an adverse effect of phenytoin.

Choice C rationale:

Hypoglycemia is not a typical adverse effect of phenytoin.

Choice D rationale:

Bradycardia is not a common adverse effect of phenytoin.

A. Red man syndrome B. Hypotension C. Hypoglycemia D. Bradycardia

Correct Answer is B

Explanation

Choice A rationale:

Red man syndrome is typically associated with the rapid infusion of vancomycin, not phenytoin.

Choice B rationale:

Hypotension can be an adverse effect of phenytoin administration, especially if the medication is administered rapidly.

Choice C rationale:

Hypoglycemia is not commonly associated with phenytoin use.

Choice D rationale:

Bradycardia is not commonly associated with phenytoin use.

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A nurse is reviewing the laboratory data of a client prior to administering IV tobramycin. Which of the following laboratory values should the report to the provider?

Nursing Test Bank

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A nurse is reviewing the laboratory data of a client prior to administering IV tobramycin.
Which of the following laboratory values should the report to the provider?