A male client has been receiving the antibiotic gentamicin sulfate IV piggyback every 12 hours for several days. Which observations by the nurse indicate that the client may be experiencing an adverse effect of gentamicin?
Hearing has decreased.
Decreased blood urea nitrogen.
White blood cells count 6,000/mm3 (6x109/L).
Reports of photophobia.
The Correct Answer is A
Gentamicin sulfate is an aminoglycoside antibiotic that can cause ototoxicity, which is damage to the inner ear leading to hearing loss or balance problems. Therefore, a decrease in hearing is an indication that the client may be experiencing an adverse effect of gentamicin.
Option b, decreased blood urea nitrogen, is not an adverse effect of gentamicin, but it may indicate improvement in kidney function, which can be a positive outcome of treatment.
Option c, a white blood cell count of 6,000/mm3 (6x109/L), is within the normal range and is not necessarily an adverse effect of gentamicin.
Option d, photophobia, is not a common adverse effect of gentamicin and may indicate a different condition or medication effect.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Anaphylaxis is a severe and potentially life-threatening allergic reaction that occurs rapidly after exposure to an allergen. The symptoms of anaphylaxis can vary but usually involve multiple organ systems, including the skin, respiratory, cardiovascular, and gastrointestinal systems.
Wheezing and dyspnea are two common symptoms of anaphylaxis that indicate the respiratory system's involvement.
Urticaria and pruritis are skin manifestations that can also be present in anaphylaxis, but they are not specific to this condition.
Insomnia and irritability are not typical symptoms of anaphylaxis.
Tinnitus and diplopia are also not common symptoms of anaphylaxis.
Correct Answer is B
Explanation
Orlistat works by inhibiting the absorption of dietary fat in the intestines. The side effects of faty stools and flatus can be managed by reducing the intake of dietary fat. The nurse should ask the client to describe her dietary intake history for the last several days to determine if she has been consuming a diet high in fat.
Based on this information, the nurse can provide appropriate dietary advice to help manage these side effects.
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