A nurse is caring for a client who is receiving gentamicin, an aminoglycoside antibiotic, for a severe infection.
The nurse should monitor the client for which adverse effects of this drug? (Select all that apply.)
Ototoxicity
Nephrotoxicity
Hepatotoxicity
Neuromuscular blockade
Thrombocytopenia.
Correct Answer : A,B
Gentamicin is an aminoglycoside antibiotic that can cause ototoxicity (damage to the inner ear) and nephrotoxicity (damage to the kidneys) as serious side effects. These effects may be irreversible and can occur even at therapeutic doses. Therefore, the nurse should monitor the client’s hearing, balance, urine output, and blood tests for kidney function while on this drug.
Choice C is wrong because gentamicin does not cause hepatotoxicity (damage to the liver).
This is more common with other antibiotics such as isoniazid or rifampin.
Choice D is wrong because gentamicin does not cause neuromuscular blockade (paralysis of muscles).
This is more common with other aminoglycosides such as neomycin or tobramycin.
Choice E is wrong because gentamicin does not cause thrombocytopenia (low platelet count).
This is more common with other drugs such as heparin or sulfonamides.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
Oxacillin, erythromycin and clindamycin are all antibiotics that are sensitive to Staphylococcus aureus according to the culture and sensitivity report.
This means that they can inhibit or kill the bacteria that are causing the wound infection.These antibiotics belong to different classes of drugs that have different mechanisms of action and spectrum of activity.
Choice D and E are wrong because vancomycin and linezolid are antibiotics that are usually reserved for more resistant strains of Staphylococcus aureus, such as methicillin-resistant Staphylococcus aureus (MRSA) or
Correct Answer is ["A","D"]
Explanation
Tetracycline can causephotosensitivity, which means increased sensitivity to sunlight and risk of sunburn.It can also causesuperinfection, which means overgrowth of resistant bacteria or fungi in the mouth, intestines, or vagina.
Choice B is wrong because tetracycline can causetooth discolorationin children under 8 years old, not in adults.
Choice C is wrong because tetracycline can causehepatic impairmentonly in patients with preexisting liver disease or who take high doses for a long time.
Choice E is wrong because tetracycline can causebone marrow suppressiononly in patients with preexisting blood disorders or who take high doses for a long time.
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