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 C

Explanation

A. Request a different medication from the provider: Erythromycin is an alternative to penicillin for patients with penicillin allergies and can be administered safely.
B. Premedicate the client with diphenhydramine: This is not necessary unless the client has a history of allergic reactions to erythromycin or other antibiotics.
C. Administer the medication to the client: Erythromycin is a macrolide antibiotic and is safe for clients who are allergic to penicillin.
D. Request a different route of administration from the provider: The route of administration (oral) is appropriate unless there is a specific concern.

A. Clients must have a Papanicolaou test every 6 months during treatment. B. Sexually active female clients must use two forms of birth control during treatment. C. Clients must begin a daily supplement of vitamin A for 1 month prior to initiating therapy. D. Female clients must have a negative mammogram prior to beginning therapy.

Correct Answer is B

Explanation

A. Pap smears are not related to isotretinoin therapy.
B. Due to teratogenic risks, two forms of contraception are mandatory, starting 1 month before treatment.
C. Vitamin A supplementation increases toxicity risk and is contraindicated.
D. Mammograms are not required for isotretinoin therapy.

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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

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Correct Answer is C

Explanation

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Explanation

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