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 C
Explanation
A. Increasing fluid intake is not recommended, as clients with Cushing disease often have fluid retention.
B. Decreasing protein intake is not recommended because muscle wasting is a concern in Cushing disease, and adequate protein is necessary to maintain muscle mass.
C. Decreasing carbohydrate intake is recommended because Cushing disease can cause hyperglycemia, and reducing carbohydrates can help manage blood glucose levels.
D. Limiting potassium-rich foods is not advisable as Cushing disease can lead to hypokalemia, and clients may need to increase their potassium intake.
Correct Answer is D
Explanation
A. Droplet precautions are not appropriate for anthrax exposure. Precautions would be based on the specific form of anthrax (cutaneous, inhalation, or gastrointestinal).
B. Anthrax is treated with antibiotics, not antiviral therapy. Ciprofloxacin or doxycycline is typically used for prophylaxis and treatment.
C. While assessing for hemorrhage might be relevant in cases of severe anthrax, it is more critical initially to focus on respiratory assessment, particularly for inhalation anthrax.
D. Assessing the respiratory system is crucial for clients exposed to anthrax, particularly inhalation anthrax, as it can cause severe respiratory symptoms and complications. Prompt assessment is essential for early detection and treatment of respiratory distress.
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