A nurse is collecting data from a client who has pyelonephritis and is receiving gentamicin via IV infusion.
Which of the following manifestations should the nurse identify as an adverse effect of the treatment?
Slurred speech
Hypotension
New onset of hearing loss
Hyperthermia
The Correct Answer is C
c. New onset of hearing loss.
When collecting data from a client who is receiving gentamicin via IV infusion, the nurse should identify new onset of hearing loss as an adverse effect of the treatment¹. Gentamicin can cause vestibulocochlear nerve damage, which can affect hearing and balance¹.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["1.5"]
Explanation
To calculate the required mL of morphine solution needed to administer 30 mg of morphine orally (PO), you can use the following formula:
Volume (in mL) = Amount (in mg) / Concentration (in mg/mL)
In this case, the amount of morphine is 30 mg, and the concentration of the morphine solution is 20 mg/mL.
Volume (in mL) = 30 mg / 20 mg/mL
Volume (in mL) = 1.5 mL
Therefore, the nurse should administer 1.5 mL of the morphine solution to deliver 30 mg of morphine to the client orally.
Correct Answer is A
Explanation
During a mass casualty event, it is crucial for the nurse to assess and determine the acuity level (severity) and number of casualties who will be arriving at the healthcare facility. This information helps in planning and organizing resources, triaging patients based on their needs, and ensuring that appropriate care is provided to those who require immediate attention.
Delegating tasks to emergency health care specialists is a role that may be performed by a nurse in a leadership or supervisory position. However, the immediate priority for the nurse is to assess and triage incoming casualties.
Providing informational updates to members of the media is usually handled by designated spokespersons or communication specialists within the healthcare facility or incident command system. Nurses are primarily focused on patient care and should not be responsible for media communication during a mass casualty event.
Assisting in discharging stable clients to home is not directly related to the immediate response and care of casualties from a mass casualty event. The nurse's focus in such situations is primarily on the management of the incoming casualties and ensuring the availability of resources and care for those who require immediate attention.
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