67. Before administering gentamicin to a child, a nurse should check the results of the child's:
Select all that apply.
67. Before administering gentamicin to a child, a nurse should check the results of the child's:
Select all that apply.
. Abdominal and chest x-rays.
. Renal function tests.
. Auditory tests.
. Complete blood count and platelet count.
Test-Taking Tip
Know all of the systems that a medication can potentially affect.
Content Area: Child Health, Renal; Integrated Process: Nursing Process, Assessment; Cognitive Level: Analysis; Client Need/Subneed: Physiological Integrity/Pharmacological and Parenteral Therapies/Adverse Effects/Contraindications/Interactions
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Answer 1 is incorrect because x-rays would not yield specific information regarding the appropriateness and safety of administering any drug. Answer 2 is correct because gentamicin can cause renal impairment and acute renal failure; thus baseline renal functions (I&O, daily weights, urine specific gravity, urinalysis, creatinine levels, and blood urea nitrogen) must be evaluated prior to administering the medication. Answer 3 is correct because gentamicin can cause hearing loss. Baseline hearing tests should be conducted prior to and at the conclusion of gentamicin therapy. Answer 4 is incorrect because gentamicin usually does not cause bone marrow suppression.