During a pharmacology class, the students are told that some drugs need to be closely monitored. What aspect should the nurse closely monitor for in clients who have been administered salicylates, loop diuretics, quinidine, quinine, or aminoglycosides?

Impaired facial movement.

Signs of hypotension.

Tinnitus and sensorineural hearing loss.

Reduced urinary output.

Answer and Explanation

The Correct Answer is C

Tinnitus and sensorineural hearing loss. Salicylates, loop diuretics, quinidine, quinine, or aminoglycosides can cause ototoxicity, which includes tinnitus (ringing in the ears) and sensorineural hearing loss. Therefore, the nurse should monitor the client for auditory changes and report them to the healthcare provider immediately.

Option A, impaired facial movement, is incorrect because it is a sign of facial nerve paralysis, which can occur due to Bell's palsy, stroke, or brain injury.

Option B, signs of hypotension, is incorrect because it can be caused by antihypertensive drugs or dehydration, not the drugs listed.

Option D, reduced urinary output, is incorrect because it can be a sign of acute kidney injury or dehydration, not the drugs listed.

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Correct Answer is A

Explanation

Arm exercises on the affected side. Patients postmastectomy should avoid arm exercises on the affected side, especially if lymph nodes were removed, to prevent lymphedema. Wearing compression garments can also be helpful.

B: This option is correct and should be encouraged as it allows for easier movement of the arms.

C: This option is correct, but it does not address the specific needs of patients postmastectomy.

D: Applying cream to the breast is not necessarily contraindicated, but patients should be cautious about using any products that could irritate or damage the skin.

A. Have the client close their eyes, lightly rub fingers together 12 inches away from the ear, and have the client identify which side the sound is heard. B. First, place the tuning fork on the mastoid process behind the ear. When the client states the sound is no longer heard, place the tuning fork beside the ear. C. Strike the tuning fork and place it in the center of the skull. D. Stand three feet away and have the client repeat back what you have whispered.

Correct Answer is B

Explanation

In the Rinne test, the nurse first places a tuning fork on the mastoid process behind the ear, and when the client states that the sound is no longer heard, the tuning fork is placed beside the ear. This test is done to compare bone conduction with air conduction. When sound is no longer heard via bone conduction, the sound will still be heard via air conduction.

Choice A is incorrect because it describes the Weber test, not the Rinne test.

Choice C is incorrect because it is not a standard hearing test.

Choice D is incorrect because it describes the Whisper test, which is also used to test for hearing loss.

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During a pharmacology class, the students are told that some drugs need to be closely monitored. What aspect should the nurse closely monitor for in clients who have been administered salicylates, loop diuretics, quinidine, quinine, or aminoglycosides?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a group of breast cancer survivors postmastectomy. When developing a list of instructions of points to avoid, which point is highlighted?

Correct Answer is A

Explanation

The client is undergoing a tuning fork test to assess for hearing conduction. The nurse performs a Rinne test. How will this test be performed?

Correct Answer is B

Explanation

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