The nurse is caring for a client receiving gentamycin IV. Which of the following adverse effects would the nurse report to the physician immediately?

Ototoxicity

Nausea

Constipation

Increased urinary output

Answer and Explanation

The Correct Answer is A

A. Ototoxicity:

Ototoxicity refers to damage to the auditory and vestibular nerves, leading to hearing loss and balance disturbances. Gentamicin, being an aminoglycoside antibiotic, is known for its potential to cause ototoxicity. Signs and symptoms of ototoxicity include changes in hearing, ringing in the ears (tinnitus), and imbalance. Ototoxicity is irreversible and can occur suddenly or gradually during gentamicin therapy. Therefore, any signs or symptoms of ototoxicity should be reported immediately to the physician for further evaluation and management.

B. Nausea:

Nausea is a common gastrointestinal side effect associated with gentamicin therapy. While it can be bothersome to the patient, nausea alone is not typically considered a severe adverse effect that requires immediate reporting to the physician. However, if nausea is severe or persistent and leads to dehydration or electrolyte imbalances, it should be addressed promptly.

C. Constipation:

Constipation is another potential gastrointestinal side effect of gentamicin therapy. Like nausea, constipation alone is not typically considered a severe adverse effect that requires immediate reporting to the physician. However, if constipation is severe or persistent and leads to discomfort or bowel obstruction, it should be addressed promptly.

D. Increased urinary output:

Increased urinary output may indicate improved renal function, which can be a desired effect during gentamicin therapy. Gentamicin is primarily excreted by the kidneys, and increased urinary output may help in the elimination of the drug from the body. Therefore, increased urinary output alone is not typically considered an adverse effect that requires immediate reporting to the physician. However, if there are signs of dehydration or electrolyte imbalances associated with increased urinary output, they should be addressed promptly.

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Correct Answer is C

Explanation

A. The herbal product must contain only one active ingredient:

This statement is not a legal requirement contained in DSHEA. Many dietary supplements contain multiple active ingredients, such as vitamins, minerals, herbs, amino acids, and other substances. DSHEA does not mandate that dietary supplements contain only one active ingredient.

B. Effectiveness must be demonstrated by the manufacturer:

DSHEA does not require manufacturers to demonstrate the effectiveness of dietary supplements before marketing. Unlike pharmaceutical drugs, which must undergo premarket approval by the Food and Drug Administration (FDA) to demonstrate safety and efficacy, dietary supplements do not need to prove effectiveness to be marketed. Instead, manufacturers are responsible for ensuring the safety of their products and making truthful claims on product labels.

C. Dietary supplements must state that the product is not intended to diagnose, treat, cure, or prevent any disease:

This statement accurately reflects a legal requirement contained in DSHEA. Under DSHEA, dietary supplement labels must include a disclaimer stating that the product is not intended to diagnose, treat, cure, or prevent any disease. This disclaimer helps to clarify that dietary supplements are intended to support general health and well-being rather than to treat specific diseases or medical conditions.

D. Dietary supplements must be tested for safety prior to marketing:

While DSHEA requires manufacturers to ensure the safety of their dietary supplements, it does not mandate standardized premarket testing for safety by regulatory authorities. Instead, manufacturers are responsible for conducting safety assessments and ensuring that their products are safe for consumers. The FDA may take action against manufacturers if a product is found to be unsafe or if it violates regulatory requirements, but premarket testing is not a specific legal requirement under DSHEA.

A. prayer B. meditation C. ointments with a steroid base D. massage

Correct Answer is ["A","B","D"]

Explanation

A. Prayer:

Prayer is a spiritual practice that involves communicating with a higher power or deity. It has been used for centuries across various cultures and religions as a means of seeking guidance, comfort, and healing. While the direct physical effects of prayer on the body may not be well understood, many people find that prayer can provide emotional support, reduce stress, and promote a sense of well-being. Additionally, some research suggests that prayer may have positive effects on mental health and overall quality of life.

B. Meditation:

Meditation is a practice that involves focusing the mind and cultivating awareness, often through techniques such as mindfulness, breathing exercises, or guided imagery. It has been practiced for centuries in Eastern traditions such as Buddhism and Hinduism, as well as in other cultures around the world. Meditation is known for its ability to promote relaxation, reduce stress, and improve mental clarity. It has also been associated with numerous physical health benefits, including lower blood pressure, improved immune function, and better sleep.

C. Ointments with a steroid base:

Ointments with a steroid base are not typically considered CAM therapies. Instead, they are a form of conventional medical treatment commonly used to reduce inflammation and treat various skin conditions. These ointments contain corticosteroids, which are synthetic drugs that mimic the effects of hormones produced by the adrenal glands. They work by suppressing the body's immune response and reducing inflammation in the affected area. While steroid-based ointments can be effective for treating certain skin conditions, they are not part of traditional CAM practices.

D. Massage:

Massage therapy involves manipulating the body's soft tissues, including muscles, tendons, and ligaments, to promote relaxation, relieve muscle tension, and improve circulation. It has been practiced for centuries in cultures around the world and is commonly used to alleviate stress, reduce pain, and enhance overall well-being. Massage therapy encompasses various techniques, such as Swedish massage, deep tissue massage, and aromatherapy massage, each with its own benefits and applications. Research has shown that massage therapy can have numerous physical and mental health benefits, including reduced anxiety, improved mood, and enhanced immune function.

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The nurse is caring for a client receiving gentamycin IV. Which of the following adverse effects would the nurse report to the physician immediately?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following is a legal requirement contained in the DSHEA?

Correct Answer is C

Explanation

The nurse responds to the client's questions about CAM therapies and explains that some have been popular for centuries in treating conditions of the body and mind Including which of the following? (Select All that Apply)

Correct Answer is ["A","B","D"]

Explanation

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