A nurse is caring for a child who is to receive the first dose of IV gentamicin. Which of the following actions should the nurse take?
Explanation & Rationale
A. Airborne precautions are not required for gentamicin administration, as this medication does not pose a risk of airborne transmission. Gentamicin is an antibiotic, and precautions depend on the infection being treated, not the medication itself. B. Maintaining strict intake and output is essential when administering gentamicin because it can be nephrotoxic. Monitoring fluid balance helps detect early signs of kidney impairment, allowing timely intervention to prevent further damage. C. Constipation is not a common adverse effect of gentamicin; gastrointestinal symptoms are more often nausea or vomiting. Monitoring bowel function is important but less critical than kidney function with this medication. D. Encouraging bed rest is not a standard nursing action specifically related to gentamicin administration. Mobility should be maintained as tolerated to prevent complications like thrombosis unless contraindicated by the patient’s condition.