A nurse is caring for a 55-year-old client who requires antibiotic therapy.

Exhibits

A nurse is reviewing a client's medical record. Select the 4 findings that place the client at risk for hearing impairment.

Osteoarthritis

Place of employment

Gentamycin

Naproxen

Bumetanide

Heart failure

Answer and Explanation

Correct Answer : B,C,D,E

A.   Osteoarthritis is not associated with hearing loss
B.   The client's place of employment as a firearms instructor at a shooting range exposes them to loud noises, which is a well-known risk factor for hearing loss.
C.   Gentamycin is an aminoglycoside antibiotic that can be ototoxic, especially when administered in high doses or for prolonged periods, potentially leading to hearing loss.
D.   Naproxen is a nonsteroidal anti-inflammatory drug (NSAID) that has been associated with an increased risk of hearing loss, particularly when taken regularly or in high doses.
E.   Bumetanide is a loop diuretic that can also have ototoxic effects, especially when used in conjunction with aminoglycoside antibiotics like gentamycin.
F.   Heart failure is not associated with hearing loss

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Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}

Explanation

 Sepsis: The client's low CD4 count indicates a weakened immune system, making them susceptible to infections. The presence of fever, cough, and other symptoms suggests a potential infection, which can lead to sepsis if not treated promptly.

 Malnutrition: The client's weight loss, diarrhea, anorexia, and difficulty eating are all signs of malnutrition. A compromised immune system can also contribute to malnutrition.

A. Inject the insulin 15-30 minutes before a meal. B. Assess for hypoglycemia 4 hrs. after the insulin injection. C. Monitor for an increase in appetite. D. Administer with insulin glargine in the same syringe.

Correct Answer is A

Explanation

A. Insulin lispro is a rapid-acting insulin that should be administered 15-30 minutes before a meal to manage blood glucose levels effectively. This timing helps to match the peak action of the insulin with the rise in blood glucose levels after eating.
B. Hypoglycemia from insulin lispro typically occurs within 1-3 hours of administration, not 4 hours later. Regular monitoring during this time frame is more appropriate.
C. An increase in appetite is not a direct result of insulin lispro administration and does not indicate insulin effectiveness or safety.
D. Insulin lispro and insulin glargine should not be mixed in the same syringe as they have different action profiles and pH levels, which can affect their efficacy.

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A nurse is caring for a 55-year-old client who requires antibiotic therapy. Exhibits A nurse is reviewing a client's medical record. Select the 4 findings that place the client at risk for hearing impairment.

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A nurse is caring for a 55-year-old client who requires antibiotic therapy.

Exhibits

A nurse is reviewing a client's medical record. Select the 4 findings that place the client at risk for hearing impairment.