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?

A. Initiate airborne precautions: Airborne precautions are not required for a child receiving gentamicin, as this antibiotic is not used for airborne infections such as tuberculosis or measles. Standard precautions are sufficient. B. Maintain strict I&O: Gentamicin is nephrotoxic, and monitoring intake and output is essential to detect early signs of kidney impairment. Strict fluid balance assessment helps ensure prompt recognition of adverse renal effects. C. Monitor for constipation: Constipation is not a typical adverse effect of gentamicin therapy. More concerning effects are nephrotoxicity and ototoxicity, which require close monitoring during treatment. D. Encourage bed rest: Bed rest is not necessary during gentamicin therapy. Activity restrictions are not required unless dictated by the child’s underlying illness or other clinical factors.