A nurse is caring for a client receiving gentamicin. For which of the following should the nurse monitor the client?

Tinnitus

Tachycardia

Polyuria

Photophobia

Answer and Explanation

The Correct Answer is A

A. Tinnitus: Gentamicin is an aminoglycoside antibiotic that can cause ototoxicity, which includes symptoms such as tinnitus (ringing in the ears).
B. Tachycardia: This is not a typical adverse effect of gentamicin.
C. Polyuria: Gentamicin does not commonly cause increased urine output.
D. Photophobia: This is not a known side effect of gentamicin.

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Correct Answer is D

Explanation

A. "I understand that the medication can slow my heart rate.": Nitroglycerin works by dilating blood vessels, which can reduce blood pressure but does not significantly slow the heart rate.
B. "I am going to take the medication with food.": Nitroglycerin should be taken sublingually without food, as food can interfere with its absorption.
C. "I will take the medication every 10 minutes until the pain goes away.": The typical recommendation is to take 1 tablet every 5 minutes for up to 3 doses; if pain persists, seek medical attention.
D. "I should feel the effects of the medication within 5 minutes.": Sublingual nitroglycerin typically works within 1-3 minutes to relieve chest pain.

A. "This medication should start to alleviate the headache within 1 hour." B. "You might experience a feeling of pressure in your chest after taking this medication." C. "Do not take more than 200 milligrams of this medication within 24 hours." D. "You can take a second dose of this medication at least 2 hours after the initial dose if the headache persists." E. "You should discontinue this medication if pregnancy is planned or suspected." F. "This medication can cause you to feel tired." G. "You might experience a rash on your skin while taking this medication."

Correct Answer is ["A","B","C","D","E","F"]

Explanation

A. "This medication should start to alleviate the headache within 1 hour.": Triptans typically provide relief within 1 to 2 hours after administration.
B. "You might experience a feeling of pressure in your chest after taking this medication.": Some clients report a sensation of tightness or pressure in the chest, which is a known, generally benign side effect of triptans.
C. "Do not take more than 200 milligrams of this medication within 24 hours.": A second dose can be taken at least 2 hours after the first dose if the headache persists, but the total dose should not exceed 200 mg in 24 hours for most formulations.
D. "You can take a second dose of this medication at least 2 hours after the initial dose if the headache persists.": A second dose can be taken at least 2 hours after the first dose if the headache persists, but the total dose should not exceed 200 mg in 24 hours for most formulations.
E. "You should discontinue this medication if pregnancy is planned or suspected." Triptans are classified as Category C drugs and should be avoided during pregnancy unless the potential benefit outweighs the risk.
F. "This medication can cause you to feel tired.": Feeling tired is a common side effect of triptans.
G. "You might experience a rash on your skin while taking this medication.": A rash is not a common or expected side effect of triptans. Skin reactions are not a primary concern with these medications unless the client has an allergic response.

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A nurse is caring for a client receiving gentamicin. For which of the following should the nurse monitor the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing discharge teaching about sublingual nitroglycerin with a client who has angina. Which of the following statements indicates an understanding of the instructions?

Correct Answer is D

Explanation

A nurse in an outpatient clinic is caring for a client. Exhibits Select the 6 statements the nurse should include when reinforcing teaching to the client about the newly prescribed medication.

Correct Answer is ["A","B","C","D","E","F"]

Explanation

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