Question

A nurse is reviewing the medical record of a client who has osteomyelitis and a prescription for Gentamicin which of the following findings from the client's medical record should indicate to the nurse the need to withhold the medication and notify the provider?

A. History of hypertension
B. Elevated creatinine level
C. Allergy to penicillin
D. Recent weight loss

Answer 1

The nurse should withhold the medication and notify the provider if the client has an elevated creatinine level.

Step-by-step explanation:

In this case, the nurse should withhold the medication and notify the provider if the client has an elevated creatinine level. Gentamicin is primarily eliminated by the kidneys, and an elevated creatinine level indicates impaired kidney function. Using Gentamicin in a client with impaired kidney function can lead to toxic levels of the drug in the body, potentially causing further harm.

An elevated creatinine level is an important laboratory finding that indicates potential kidney dysfunction. This can affect the pharmacokinetics and safety of many medications, including Gentamicin. The nurse should notify the provider to discuss alternative treatment options or adjustments to the dosage of Gentamicin.