The nurse is monitoring a client receiving gentamicin.
Which of the following would the nurse assess as potential toxic effects of this medication?
Pseudomembranous colitis and crystalluria.
Headaches, vertigo, and tinnitus.
Headache and potassium 3.5 mg/dL.
Hypoglycemia and cardiac dysrhythmias.
The Correct Answer is B
Choice A rationale
Pseudomembranous colitis and crystalluria are not typically associated with gentamicin use.
Choice B rationale
Gentamicin can cause ototoxicity, which can manifest as tinnitus (ringing in the ears), vertigo (a sensation of spinning), and hearing loss. Headaches can also occur as a side effect of gentamicin.
Choice C rationale
While gentamicin can cause nephrotoxicity (kidney damage), which could potentially affect electrolyte levels, a potassium level of 3.5 mg/dL is within the normal range. Therefore, this would not typically be assessed as a toxic effect of gentamicin.
Choice D rationale
Hypoglycemia and cardiac dysrhythmias are not typically associated with gentamicin use.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
NSAIDs such as ibuprofen are commonly used to manage pain and inflammation. However, they are not typically the first choice for treating phantom limb pain. Phantom limb pain is a complex condition that is thought to involve both peripheral and central mechanisms.
Choice B rationale
Antipyretics such as acetaminophen are used to reduce fever and relieve mild to moderate pain. However, they are not typically used as the primary treatment for phantom limb pain. This type of pain is often resistant to common analgesics, including acetaminophen.
Choice C rationale
Narcotic analgesics such as codeine can be used to manage severe pain. However, they are not typically the first choice for treating phantom limb pain due to the risk of dependency and the fact that this type of pain often does not respond well to opioids.
Choice D rationale
Anticonvulsants such as gabapentin are often used to manage neuropathic pain, including phantom limb pain. Gabapentin works by stabilizing electrical activity in the nervous system and altering the way the nerves send messages to the brain.
Correct Answer is A
Explanation
The correct answer is Choice A. Insulin lispro is a fast-acting insulin that starts to work about 15 minutes after injection. Therefore, the client should eat within 15 minutes of taking the insulin to prevent hypoglycemia. So, if the client takes the insulin at 0630, they should start eating at 06404
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