A nurse is caring for a client who has prescriptions for furosemide and gentamicin. For which of the following complications should the nurse monitor the client?
Hyperkalemia
Hypoglycemia
Ototoxicity
Liver toxicity
The Correct Answer is C
Rationale:
A. Hyperkalemia: Furosemide is a loop diuretic that promotes potassium excretion, which can lead to hypokalemia, not hyperkalemia. Monitoring for low potassium is important, but hyperkalemia is not a primary concern with these medications.
B. Hypoglycemia: Neither furosemide nor gentamicin directly affects blood glucose levels. Hypoglycemia is not a typical complication of these medications.
C. Ototoxicity: Gentamicin, an aminoglycoside antibiotic, and furosemide, a loop diuretic, can both cause ototoxicity, which may result in tinnitus, hearing loss, or balance disturbances. Monitoring for auditory changes is essential when these medications are used concurrently.
D. Liver toxicity: These medications are not primarily hepatotoxic. Liver function monitoring is not a routine requirement for furosemide or gentamicin unless there are other predisposing conditions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. "Can you tune out the voices by listening to music?": This question focuses on coping strategies, which is important, but it is not the immediate priority. The nurse must first assess the content of the hallucinations to determine potential risk.
B. "Are you also seeing unusual persons or things?": Assessing for visual hallucinations is useful, but the client is currently experiencing auditory command hallucinations. Immediate focus should be on the commands to ensure safety.
C. "What are the voices telling you to do?": Determining the content of the voices is the priority because command hallucinations may instruct the client to harm themselves or others. Assessing risk and ensuring safety comes before exploring coping or additional symptoms.
D. "Do the voices cause you to feel anxious?": Assessing emotional response is relevant, but it is secondary to understanding whether the hallucinations pose a safety risk to the client or others.
Correct Answer is D
Explanation
Rationale:
A. Lack of empathy: This is characteristic of narcissistic personality disorder rather than obsessive-compulsive personality disorder (OCPD). Clients with OCPD may appear rigid and controlling but do not typically demonstrate a profound lack of empathy.
B. Fear of abandonment: This is a hallmark feature of borderline personality disorder, not OCPD. Clients with OCPD usually struggle with control, orderliness, and perfectionism rather than intense fears of being abandoned.
C. Distrust of others: Distrust is more indicative of paranoid personality disorder. While OCPD clients may be critical or controlling, pervasive suspicion and mistrust are not primary features.
D. Focus on perfectionism: A hallmark manifestation of OCPD is a preoccupation with order, rules, and perfectionism. Clients may become inflexible, excessively devoted to work, and unable to delegate tasks due to their high standards, making this the expected finding.
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