题目内容

When administering gentamicin to a preschooler, which of the following monitoring schedules is best for determining the drug's effectiveness

A serum trough level every morning.
B. A serum peak level after the second dose.
C. A serum trough and peak level around the third dose.
D. Serial serum trough levels after three doses (24 hours).

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A client tells the nurse that she has been working hard for the last 3 months to control her type 2 (non-insulin-dependent) diabetes mellitus with diet and exercise. To determine the effectiveness of the client's efforts, the nurse should check

A. urine glucose level.
B. fasting blood glucose level.
C. serum fructosamine level.
D. glycosylated hemoglobin (Hb) level.

Before administering a tube feeding to a toddler, which of the following methods should the nurse use to check the placement of a nasogastric (NG) tube

Abdominal X-rays.
B. Injection of a small amount of air while listening with a stethoscope over the abdominal area.
C. A check of the pH of fluid aspirated from the tube.
D. Visualization of the measurement mark on the tube made at the time of insertion.

The nurse is caring for a neonate 12 hours after birth. Which clinical manifestation would be the earliest indication that the neonate may have cystic fibrosis

A. Steatorrhea.
B. Meconium ileus.
C. Decreased sodium levels.
D. Rhinorrhea.

While performing rounds, a nurse finds that a client is receiving the wrong IV solution. The nurse's initial response should be to

A. remove the IV catheter and call the physician.
B. write up an incident report describing the mistake.
C. slow the IV flow rate and hang the appropriate solution.
D. wait until the next bottle is due and then change to the proper solution.

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