ATI Pharmacology

Correct Answer: B

Rationale: The presence of red blood cells in the urine can indicate nephrotoxicity, which is a potential adverse effect of gentamicin. Gentamicin can cause damage to the kidneys, leading to the presence of red blood cells in the urine as a sign of renal impairment. Monitoring for this finding is crucial to detect and manage adverse reactions promptly.

Correct Answer: A

Rationale: It is important for the nurse to educate the client about the increased risk for a myocardial infarction when taking Celecoxib due to its effect on suppressing vasodilation, which can lead to this adverse cardiovascular event. Monitoring for signs of heart issues and discussing the importance of seeking prompt medical attention if symptoms occur is crucial in the patient's education.

Correct Answer: B

Rationale: The correct answer is to instruct the client to avoid taking Levofloxacin with dairy products. This is because calcium in dairy products can interfere with the absorption of the medication. Patients should be advised to take Levofloxacin either 1 hour before or 2 hours after consuming dairy products to ensure optimal effectiveness.

Correct Answer: D

Rationale: The correct answer is 'Orthostatic hypotension.' Amitriptyline can lead to orthostatic hypotension, a sudden drop in blood pressure when standing up, which can cause dizziness and increase the risk of falls. It is crucial for the nurse to monitor the client for signs of orthostatic hypotension, such as dizziness or lightheadedness when changing positions, and to educate the client to move slowly when transitioning from lying or sitting to standing.

Correct Answer: B

Rationale: The presence of red blood cells in the urine is a significant finding that can indicate nephrotoxicity, a potential adverse effect of gentamicin. Nephrotoxicity can lead to kidney damage, and monitoring for this adverse reaction is crucial during gentamicin therapy.