A patient has been newly prescribed gentamicin 120mg, IM, once.

After reviewing the patient’s home medication list, which medication should the nurse be most concerned about?

Digoxin

Furosemide

Prednisolone

Warfarin

Answer and Explanation

The Correct Answer is B

Choice A rationale
Digoxin is a cardiac glycoside used to treat heart failure and atrial fibrillation. While it’s important to monitor digoxin levels in patients receiving gentamicin due to the risk of increased digoxin levels, it’s not the most concerning medication.
Choice B rationale
Furosemide is a loop diuretic that can cause ototoxicity, especially when used with aminoglycosides like gentamicin. Therefore, this is the medication the nurse should be most concerned about.
Choice C rationale
Prednisolone is a corticosteroid medication. While it’s important to monitor for potential interactions, it’s not the most concerning medication in this context.
Choice D rationale
Warfarin is an anticoagulant medication. While it’s important to monitor for potential interactions, it’s not the most concerning medication in this context.

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Correct Answer is B

Explanation

Choice A rationale
This choice suggests that the nurse would administer 4.5 units of insulin for the carbohydrates consumed. However, this is not accurate. The carbohydrate ratio is 1:10, meaning 1 unit of insulin is needed for every 10 grams of carbohydrates. The client consumed 57 grams of carbohydrates (45g from rice + 12g from broccoli). Therefore, the calculation would be 57g ÷ 10 = 5.7 units of insulin. This choice underestimates the amount of insulin needed, which could lead to hyperglycemia, or high blood sugar.
Choice B rationale
This choice is correct. The client’s carbohydrate ratio is 1:10, meaning 1 unit of insulin is needed for every 10 grams of carbohydrates. The client consumed 57 grams of carbohydrates (45g from rice + 12g from broccoli). Therefore, the calculation would be 57g ÷ 10 = 5.7 units of insulin. This amount of insulin would help to properly metabolize the carbohydrates consumed and maintain the client’s blood sugar within the target range.
Choice C rationale
This choice suggests that the nurse would administer 6.2 units of insulin for the carbohydrates consumed. However, this is not accurate. The carbohydrate ratio is 1:10, meaning 1 unit of insulin is needed for every 10 grams of carbohydrates. The client consumed 57 grams of carbohydrates (45g from rice + 12g from broccoli). Therefore, the calculation would be 57g ÷ 10 = 5.7 units of insulin. This choice overestimates the amount of insulin needed, which could lead to hypoglycemia, or low blood sugar.
Choice D rationale
This choice suggests that the nurse would administer 7.1 units of insulin for the carbohydrates consumed. However, this is not accurate. The carbohydrate ratio is 1:10, meaning 1 unit of insulin is needed for every 10 grams of carbohydrates. The client consumed 57 grams of carbohydrates (45g from rice + 12g from broccoli). Therefore, the calculation would be 57g ÷ 10 = 5.7 units of insulin. This choice significantly overestimates the amount of insulin needed, which could lead to hypoglycemia, or low blood sugar.

A. Use aromatherapy sprays B. Take a brisk walk outside C. Avoid well-seasoned foods D. Drink a warm glass of milk

Correct Answer is C

Explanation

Choice A rationale
While aromatherapy sprays can provide a calming environment, there is limited evidence to suggest that they can effectively reduce chemotherapy-induced nausea and vomiting.
Choice B rationale
Physical activity like a brisk walk outside can be beneficial for overall health, but it may not directly help in reducing nausea and vomiting caused by chemotherapy.
Choice C rationale
Avoiding well-seasoned, spicy, and fatty foods can help reduce nausea and vomiting during chemotherapy. These types of foods can irritate the stomach and make nausea worse.
Choice D rationale
Drinking a warm glass of milk may not be helpful in reducing chemotherapy-induced nausea and vomiting. In fact, dairy products can sometimes exacerbate nausea.

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A patient has been newly prescribed gentamicin 120mg, IM, once. After reviewing the patient’s home medication list, which medication should the nurse be most concerned about?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

A patient is currently receiving chemotherapy and is experiencing nausea and vomiting. What should the nurse teach the patient to help reduce the nausea and vomiting?

Correct Answer is C

Explanation

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A patient has been newly prescribed gentamicin 120mg, IM, once.

After reviewing the patient’s home medication list, which medication should the nurse be most concerned about?