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 D

Explanation

Choice A rationale
While taking the antibiotic with food can help reduce gastric irritation for some antibiotics, this is not the most important information for the patient prescribed doxycycline.
Choice B rationale
Antacids should not be taken one hour before taking doxycycline. Antacids can interfere with the absorption of doxycycline, making it less effective.
Choice C rationale
Consuming the medication with yogurt is not necessary to prevent superinfection. While yogurt is often recommended to restore normal flora during antibiotic treatment, it is not the most crucial information for a patient taking doxycycline.
Choice D rationale
Taking the medication with a full glass of water is the most important information for a patient prescribed doxycycline. This is to ensure that the medication reaches the stomach and does not cause irritation or ulcers in the esophagus.

A. Fasting blood sugar level of 130 mg/dL. B. Yellow discoloration of the sclera. C. Positive result on the tuberculin skin test. D. Blood pressure reading of 100/70 mmHg.

Correct Answer is B

Explanation

Choice A rationale
While a fasting blood sugar level of 130 mg/dL is slightly elevated, it is not the most concerning finding given the current medications. Metformin is a medication used to control blood sugar levels in patients with diabetes, so this patient’s blood sugar is being managed.
Choice B rationale
Yellow discoloration of the sclera is a sign of jaundice, which can indicate liver damage. Given that this patient is taking several medications that can potentially cause liver damage (including isoniazid and acetaminophen), this finding is most concerning.
Choice C rationale
A positive result on the tuberculin skin test indicates exposure to tuberculosis, but it does not necessarily mean the patient has active tuberculosis. The patient is currently taking medications for tuberculosis (isoniazid and rifampin), indicating that this condition is being managed.
Choice D rationale
A blood pressure reading of 100/70 mmHg is within the normal range, so this would not be the most concerning finding. The patient’s metoprolol medication is used to manage blood pressure, indicating that this aspect of the patient’s health is being managed. Prednisone Prednisone Explore

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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

A patient has been prescribed the antibiotic doxycycline. What is the most important information for the nurse to include when educating the patient?

Correct Answer is D

Explanation

Correct Answer is B

Explanation

A patient is prescribed erythromycin for an infection. What medication should the nurse instruct the patient to avoid while on erythromycin?

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The nurse is preparing to administer the first dose of an antibiotic to a patient admitted for pneumonia. What is the most important action to take prior to administering the antibiotic?

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?