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A nurse is planning care for a group of clients.
Which of the following client's medications should be monitored by the nurse for hearing loss related to a medication interaction?

Losartan and atorvastatin.

Propranolol and raloxifene.

Digoxin and levothyroxine.

Furosemide and amikacin.

Answer and Explanation

The Correct Answer is D

Combining furosemide with certain aminoglycoside antibiotics like amikacin may increase the risk of hearing loss.

The nurse should monitor this client for hearing loss related to a medication interaction.

Choice A is wrong because there is no known interaction between losartan and atorvastatin that can cause hearing loss.

Choice B is wrong because there is no known interaction between propranolol and raloxifene that can cause hearing loss.

Choice C is wrong because there is no known interaction between digoxin and levothyroxine that can cause hearing loss.

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Correct Answer is A

Explanation

Propranolol is a beta-blocker that is used to treat high blood pressure and other heart conditions.

It works by slowing down the heart rate and reducing the force of heart muscle contraction.

Therefore, it is important for the nurse to assess the client’s heart rate prior to administering this medication to ensure that it is within a safe range.

Choice B is wrong because respiratory rate is not directly affected by propranolol.

Choice C is wrong because temperature is not directly affected by propranolol.

Choice D is wrong because pain level is not directly affected by propranolol.

A. The client had chemotherapy 12 hr before the medication was administered. B. The medication vial sat at room temperature for 2 hr before it was administered. C. The client's absolute neutrophil count was 2,500/mm³ before the medication was administered. D. The nurse flushed the client's IV line with dextrose 5% in water before and after the medication was administered.

Correct Answer is A

Explanation

Choice A rationale: Administering filgrastim after chemotherapy is a standard practice to boost white blood cell count. However, filgrastim should not be given within 24 hours before or after chemotherapy, as it can affect the efficacy and increase the risk of side effects. Administering the medication 12 hours after chemotherapy falls within this contraindicated window, necessitating an incident report.

Choice B rationale: Filgrastim can be stored at room temperature for short periods, and 2 hours is generally within acceptable limits for stability.

Choice C rationale: An absolute neutrophil count of 2,500/mm³ is within the normal range, and there is no contraindication for administering filgrastim.

Choice D rationale: Flushing the client's IV line with dextrose 5% in water before and after administering filgrastim is not appropriate, as this medication is typically administered with saline solution. Using an incorrect flushing solution could affect the medication's efficacy or compatibility, necessitating an incident report.

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A nurse is planning care for a group of clients. Which of the following client's medications should be monitored by the nurse for hearing loss related to a medication interaction?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is A

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A nurse is planning care for a group of clients.
Which of the following client's medications should be monitored by the nurse for hearing loss related to a medication interaction?