A nurse in a clinic is obtaining a health history from a female client. The nurse should identify which of the following findings as a risk factor cervical cancer?

A. Lethargy: Lethargy can be a nonspecific symptom of many conditions, including infection or general illness, but it is not a hallmark sign of gentamicin toxicity. While monitoring overall status is important, lethargy alone does not indicate ototoxicity or nephrotoxicity.

B. Weight gain: Weight gain may reflect fluid retention or other metabolic changes, but it is not a primary indicator of gentamicin toxicity. Nephrotoxicity could eventually cause fluid retention, but weight gain is a delayed and nonspecific finding.

C. Tinnitus: Tinnitus, or ringing in the ears, is a classic early sign of ototoxicity associated with aminoglycosides like gentamicin. It indicates damage to the inner ear and requires immediate assessment and potential discontinuation of the drug to prevent permanent hearing loss.

D. Slurred vision: Slurred vision is not typically associated with gentamicin toxicity. Visual changes are not a known adverse effect of aminoglycosides, so this finding would prompt evaluation for other causes rather than drug toxicity.

A. Decrease in blood pressure: Autonomic dysreflexia is characterized by a sudden increase in blood pressure, not a decrease. Hypotension is more typical of spinal shock, making low blood pressure inconsistent with autonomic dysreflexia.

B. Increase in heart rate: During autonomic dysreflexia, the body often responds with bradycardia rather than tachycardia due to baroreceptor-mediated parasympathetic activation. An elevated heart rate is not a typical sign of this condition.

C. Client report of eye twitching: Eye twitching is not associated with autonomic dysreflexia. This symptom may indicate a neurological or electrolyte issue, but it does not help identify the acute hypertensive crisis characteristic of autonomic dysreflexia.

D. Client report of sudden headache: A sudden, severe headache is a hallmark symptom of autonomic dysreflexia caused by abrupt hypertension. This finding, along with other signs such as flushed skin, nasal congestion, and sweating above the level of injury, indicates the need for immediate intervention to prevent complications such as stroke.