A peak and trough level was obtained from a client receiving an aminoglycoside IV every 8 hours. Which finding presents the highest risk for the client and should be reported immediately to the healthcare provider?

Decreased peak, decreased trough.

Decreased trough only.

Increased peak, increased trough.

Decreased peak only.

Answer and Explanation

The Correct Answer is C

A) A decreased peak and trough level may indicate subtherapeutic levels of the medication but do not pose an immediate risk to the client. Adjustments to the dosing regimen may be needed, but this finding does not require immediate action.

B) A decreased trough level alone may suggest a need for dosage adjustment but does not present an immediate risk to the client. It is important to monitor therapeutic drug levels, but this finding does not require immediate reporting to the healthcare provider.

C) An increased peak and trough level indicates potential toxicity of the medication. Increased peak levels can lead to nephrotoxicity, while increased trough levels can lead to ototoxicity. Both conditions are serious and require immediate action to prevent harm to the client. The nurse should report this finding immediately to the healthcare provider for further evaluation and possible adjustment of the medication regimen.

D) A decreased peak level alone may indicate subtherapeutic levels of the medication, but it does not pose an immediate risk to the client. Adjustments to the dosing regimen may be needed, but this finding does not require immediate action.

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Correct Answer is A

Explanation

A) Be aware that difficulty sleeping and weight loss may occur: This is the correct answer. Bupropion is associated with potential side effects such as insomnia and weight loss. It is essential for the nurse to inform the client about these possible adverse effects to ensure they are aware and can monitor for them. By being informed, the client can report any concerns promptly to their healthcare provider.

B) Administer each dose with at least 8 ounces (240 ml) of water: While it is generally advisable to take medications with a full glass of water, this instruction is not specifically related to bupropion. Therefore, it is not the most pertinent information for discharge teaching regarding this medication.

C) Consume tyramine-free foods while taking the medicine: This instruction is not relevant to bupropion. Tyramine restriction is typically associated with monoamine oxidase inhibitors (MAOIs), not bupropion.

D) Notify the healthcare provider if experiencing changes in taste: Changes in taste are not commonly associated with bupropion use. While it is important to monitor for and report any unusual symptoms while taking medication, difficulty sleeping and weight loss are more commonly observed adverse effects of bupropion that should be emphasized in discharge teaching for a client prescribed this medication to reduce nicotine cravings.

A. Irritable bowel syndrome. B. Coronary artery disease. C. Type 2 diabetes mellitus. D. Seasonal allergic rhinitis.

Correct Answer is B

Explanation

A) Irritable bowel syndrome: While it's im’ortant to consider the client's me’ical history comprehensively, sumatriptan succinate is primarily contraindicated in clients with a history of coronary artery disease due to its potential vasoconstrictive effects.

B) Coronary artery disease: This is the correct response. Sumatriptan succinate is contraindicated in clients with a history of coronary artery disease or ischemic heart disease due to its potential to cause coronary vasospasm and increase the risk of myocardial ischemia or infarction.

C) Type 2 diabetes mellitus: While it's im’ortant to consider the client's ov’rall medical history, type 2 diabetes mellitus is not specifically contraindicated with sumatriptan succinate use.

D) Seasonal allergic rhinitis: While seasonal allergic rhinitis is relevant to the client's me’ical history, it is not directly related to the contraindications of sumatriptan succinate.

Therefore, the most crucial consideration before administering sumatriptan succinate is to determine if the client has a history of coronary artery disease or ischemic heart disease to avoid potential adverse cardiac effects.

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A peak and trough level was obtained from a client receiving an aminoglycoside IV every 8 hours. Which finding presents the highest risk for the client and should be reported immediately to the healthcare provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with a history of smoking cigarettes for many years arrives to the clinic and expresses a desire to stop smoking. The client receives a prescription for bupropion to reduce nicotine cravings. Which information should the nurse include in the discharge teaching?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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