The nurse is reviewing her hospitalized client's medications and sees that he is on both a cephalosporin and an aminoglycoside. The nurse knows that this combination of antibiotics increases the client's risk for:
Seizures.
nephrotoxicity.
hearing loss.
Hepatotoxicity.
The Correct Answer is B
A. Seizures: Some antibiotics, especially cephalosporins, can lower the seizure threshold, increasing the risk of seizures, especially in individuals prone to seizures or those with a history of epilepsy.
B. Nephrotoxicity: Both cephalosporins and aminoglycosides have the potential to harm the kidneys. When used together, their nephrotoxic effects can be additive, increasing the risk of kidney problems in patients.
C. Hearing Loss: Aminoglycosides, a class of antibiotics that includes drugs like gentamicin, are well-known for their potential to cause hearing loss, especially when used in high doses or for prolonged periods. This effect is due to their toxic impact on the hair cells in the inner ear.
D. Hepatotoxicity: Hepatotoxicity refers to liver damage caused by medications. Some antibiotics, including certain cephalosporins, can have hepatotoxic effects, potentially harming the liver. Monitoring liver function is important when these drugs are used.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Antibiotics are prescribed according to culture and sensitivity reports:
When antibiotics are prescribed based on specific tests like cultures and sensitivity reports, it ensures that the right antibiotic is chosen for the specific bacteria causing the infection. This practice helps in targeting the infection more effectively, reducing the risk of antibiotic resistance.
B. Patients stop taking an antibiotic after they feel better:
This scenario is problematic. When patients start feeling better, they might assume the infection is completely gone and stop taking antibiotics before the prescribed course is finished. This premature discontinuation can leave some bacteria alive, which may develop resistance to the antibiotic used. This practice is a significant contributor to antibiotic resistance.
C. Antibiotics are taken with ascorbic acid (vitamin C):
Ascorbic acid (vitamin C) doesn't have a significant impact on antibiotic resistance. It is not a factor contributing to antibiotic resistance.
D. Antibiotics are taken with water or juice:
Whether antibiotics are taken with water or juice doesn’t directly influence antibiotic resistance. Proper hydration is essential to support the body's overall health, but it doesn't impact the development of antibiotic resistance.
Correct Answer is D
Explanation
A. Cushing's Syndrome: This is a condition caused by prolonged exposure to high levels of cortisol, a hormone produced by the adrenal glands. It is not related to kidney transplant or immunosuppressive therapy.
B. Hypersensitivity Reaction Type I: Also known as an immediate hypersensitivity reaction or an allergy, this type of reaction involves the immune system's exaggerated response to an allergen. Symptoms can range from mild to severe and occur quickly after exposure to the allergen. While allergies can cause various symptoms, they do not specifically represent rejection of a transplanted organ.
C. Chronic Graft Versus Host Rejection: This term is commonly associated with bone marrow or stem cell transplants. It occurs when immune cells from the donated tissue recognize the recipient's body as foreign and attack various organs or tissues. This process typically happens over a more extended period and is not directly related to the scenario described.
D. Acute Host Versus Graft Rejection: This occurs when the recipient's immune system recognizes the transplanted organ as foreign and launches an immune response against it. It can happen shortly after transplantation if the recipient's immune system is not adequately suppressed. In this case, stopping immunosuppressive therapy can trigger acute rejection, leading to the failure of the transplanted organ.

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