ATI MED SURG PROCTORED EXAM, 2019-STUDY GUIDE
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ATI MED SURG PROCTORED EXAM 2019-STUDY GUIDE
1) A nurse is caring for a client diagnosed with a skin infection who is receiving tobramycin sulfate (Nebcin) intravenously every 8 hours. Which of the following would indicate to the nurse that the client is experiencing an adverse reaction related to the medication?
Options:
A) A blood urea nitrogen (BUN) of 30 mg/dL
B) A white blood cell count (WBC) of 6000/ul
C) A sedimentation rate of 15 mm/hour
D) A total bilirubin of 0.5 mg/dL
Correct Answer is: A
Explanation : Adverse reactions or toxic effects of tobramycin sulfate include nephrotoxicity as evidenced by an increased BUN and serum creatinine; irreversible ototoxicity as evidenced by tinnitus, dizziness, ringing or roaring in the ears, and reduced hearing; and neurotoxicity as evidenced by headaches, dizziness, lethargy tremors, and visual disturbances. A normal WBC is 4500 to 11,000/ul. The normal sedimentation rate is 0 to 30 mm/hour. The normal total bilirubin level is less than 1.5 mg/dL. The normal BUN is 5 to 20 mg
[Solved] ATI MED SURG PROCTORED EXAM, 2019-STUDY GUIDE
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