A nurse is caring for a 55-year-old client who requires antibiotic therapy.
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
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
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"B"}
Explanation
- Encephalopathy is a common complication of severe alcohol withdrawal, characterized by altered mental status, confusion, and other neurological symptoms.
- Ammonia levels are often elevated in patients with alcohol withdrawal syndrome, and high ammonia levels can contribute to encephalopathy.
Correct Answer is ["31.5%"]
Explanation
Anterior trunk 18%
Left arm 9%
Right forearm 4.5%
Total = 18+9+4.5= 31.5%
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