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

Answer and Explanation

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.

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Correct Answer is B

Explanation

This issue indicates a potential difficulty with fine motor skills and may impact the client's ability to feed themselves independently.

It is important for the interprofessional team, including occupational therapy and/or physical therapy, to be aware of this issue and collaborate on appropriate interventions to improve the client's functional abilities and promote independence in activities of daily living (ADLs).

A. "The client reports pain is reduced when he is positioned on his side." B. "The client's mother died 4 years ago from breast cancer." C. "The client's partner visited earlier today for 2 hours." D. "The client received the prescribed antibiotic every 8 hours."

Correct Answer is A

Explanation

This statement should be included in the change-of-shift report because it provides vital information about the patient’s condition and any changes that have occurred to the patient during the shift.

Statement B is wrong because it does not provide relevant information about the patient’s current condition or changes that have occurred during the shift. Statement C is wrong because it does not provide relevant information about the patient’s medical condition. Statement D is wrong because it does not provide new information about changes that have occurred during the shift.

Change-of-shift reports are key to inpatient care because they provide vital information about and responsibility for the patient from the off-going provider to the on-coming provider.

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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?

Nursing Test Bank

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Correct Answer is B

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Correct Answer is A

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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?