NCLEX Question of the Day

November 23, 2025

Pharmacological and Parenteral Therapies QID 59

A patient is prescribed an aminoglycoside antibiotic for a severe infection. The nurse knows that a significant adverse effect of aminoglycosides is nephrotoxicity. What is an important action for the nurse to take?

A:
Monitor serum creatinine and BUN levels.
B:
Discontinue the antibiotic at the first sign of elevated blood pressure.
C:
Monitor for signs of hyperkalemia only.
D:
Advise the patient to increase calcium intake.

Explanation

Aminoglycosides can cause nephrotoxicity, and it's crucial to monitor renal function through serum creatinine and BUN levels to catch any early signs of kidney damage. While monitoring for other electrolyte imbalances is important, solely looking for hyperkalemia isn't enough. Increasing calcium intake or discontinuing the antibiotic without provider guidance are not appropriate actions.

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