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 D

Explanation

After a transurethral resection of the prostate (TURP), it is expected for the client to have some blood in the urine. Initially, the urine may be bright red or pink due to the surgical procedure's trauma to the prostate and surrounding tissues. However, as time passes, the urine should gradually become lighter in color.

If the client's urine remains dark red, it may indicate active bleeding or a significant amount of blood in the urine, which could be a cause for concern.

A. Administer an anti-anxiety medication. B. Explore behaviors that have helped to reduce the client's anxiety in the past. C. Minimize environmental stimuli in the client's surroundings. D. Explain to the client that anxiety causes physical manifestations

Correct Answer is C

Explanation

The client is experiencing palpitations and a sense of impending doom, which may indicate a heightened state of anxiety or a panic attack. Minimizing environmental stimuli can help create a calming and safe environment for the client. By reducing noise, bright lights, and other potentially distressing stimuli, the nurse can create a more soothing atmosphere that may help alleviate the client's anxiety.

While exploring behaviors that have helped to reduce the client's anxiety in the past and explaining to the client that anxiety causes physical manifestations are important actions, they may not provide immediate relief or address the client's immediate distress.

Administering an anti-anxiety medication may be considered if the client's symptoms persist or worsen, but it is not the first action to be taken. The nurse should prioritize non-pharmacological interventions and create a supportive environment before considering medication administration.

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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

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who is 1 day postoperative following a transurethral resection of the prostate. Which of the following findings should the nurse report to the provider?

Correct Answer is D

Explanation

A nurse in a mental health facility is caring for a client who reports palpitations and a sense of impending doom. Which of the following actions should the nurse take first?

Correct Answer is C

Explanation

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A nurse is supervising an assistive personnel (AP) who is providing client care. The nurse should identify that which of the following actions by the AP demonstrates effective use of supplies?

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?