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 B

Explanation

A. The time of the burn helps in understanding how long the client has been exposed and may influence the assessment of burn progression, but it does not directly determine the severity.
B. The depth of the burn is the primary factor in assessing burn severity. It determines the level of tissue damage and guides treatment decisions. Depth classifications include superficial, partial-thickness, and full-thickness burns.
C. The cause of the burn is important for treatment considerations and understanding the mechanism of injury but does not impact the assessment of burn severity.
D. The location of the burn affects the potential for complications and functional impairment but is secondary to the depth in determining overall burn severity.

A. "This medication will increase the client's heart rate." B. "This medication will decrease the client's blood pressure." C. "This medication will decrease the client's urine specific gravity." D. "This medication will decrease the client's urine output."

Correct Answer is D

Explanation

A. Vasopressin does not typically increase the client's heart rate; its primary effect is on the kidneys and urine output.
B. Vasopressin generally increases blood pressure by promoting vasoconstriction, not decreases it.
C. Vasopressin will increase, not decrease, urine specific gravity by reducing urine output and concentrating the urine.
D. Vasopressin acts to decrease urine output by increasing water reabsorption in the kidneys, which helps manage diabetes insipidus.

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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.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing the depth and extent of injury on a client who has severe burns to the face, neck, and upper extremities. Which of the following factors is the nurse's priority when assessing the severity of the client's burns?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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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.