Which of the following complaints by a man taking gentamycin would be most indicative that he is experiencing ototoxicity?
changes in mental status
complaints that he is unable to hear the television
an increase in the BUN and creatinine
tingling of the extremities
The Correct Answer is B
A. Changes in mental status:
Changes in mental status are not typically associated with ototoxicity caused by gentamicin. Mental status changes may indicate other systemic effects or adverse reactions, but they are not specific to ototoxicity.
B. Complaints that he is unable to hear the television:
This complaint is highly indicative of ototoxicity. Hearing loss, particularly high-frequency hearing loss, is a common symptom of ototoxicity caused by drugs like gentamicin. Difficulty hearing sounds such as the television, especially at typical volume levels, suggests a potential problem with hearing function.
C. An increase in the BUN and creatinine:
An increase in blood urea nitrogen (BUN) and creatinine levels may indicate kidney damage, which can occur as a result of nephrotoxicity associated with gentamicin use. While nephrotoxicity is a known adverse effect of gentamicin, it is not specific to ototoxicity.
D. Tingling of the extremities:
Tingling of the extremities is not typically associated with ototoxicity caused by gentamicin. This symptom may suggest other neurological or systemic effects but is not specific to ototoxicity.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D"]
Explanation
A.Recognizing the role of spirituality in health and healing:
Many CAM therapies acknowledge the importance of spirituality in health and healing. Spiritual well-being is considered an integral aspect of overall health in many CAM modalities. Practices such as meditation, yoga, and mindfulness often incorporate spiritual elements. Therefore, recognizing the role of spirituality in health and healing is a common characteristic of CAM therapies.
B. Focusing on treatment of the person as an individual:
One of the key principles of CAM therapies is treating the individual as a whole, taking into account physical, mental, emotional, and spiritual aspects of health. CAM practitioners often emphasize personalized care tailored to the unique needs and characteristics of each individual. Therefore, focusing on the treatment of the person as an individual is a common characteristic of CAM therapies.
C. Focusing only on physical health:
This statement is incorrect. Unlike conventional Western medicine, which primarily focuses on the physical aspects of health and disease, CAM therapies often take a holistic approach that considers the interconnectedness of the mind, body, and spirit. Therefore, CAM therapies typically address physical, mental, emotional, and spiritual aspects of health, rather than focusing solely on physical health.
D.Promotion of disease prevention, self-care, and self-healing:
Many CAM therapies emphasize the importance of disease prevention, self-care practices, and the body’s innate ability to heal itself. These therapies often encourage individuals to take an active role in maintaining their health and well-being through lifestyle modifications, stress management techniques, dietary changes, and other self-care practices. Therefore, promotion of disease prevention, self-care, and self-healing is a common characteristic of CAM therapies.
Correct Answer is A
Explanation
A. "Are you having any difficulty breathing?":
Difficulty breathing is a critical symptom that may indicate a severe allergic reaction, such as anaphylaxis, which can be life-threatening. It is essential to assess for difficulty breathing immediately as it requires urgent intervention to ensure the patient's airway is clear and to administer appropriate treatment.
B. "Have you noticed any blood in your stool?":
While blood in the stool could indicate gastrointestinal bleeding, it is not typically associated with allergic reactions to antibiotics. This symptom is more commonly associated with other conditions such as gastrointestinal ulcers, infections, or inflammatory bowel disease. While important to assess, it is not as immediately concerning as difficulty breathing in the context of a suspected allergic reaction.
C. "Are you having difficulty with your hearing?":
Difficulty with hearing is not a common symptom of allergic reactions to antibiotics. It may be associated with other conditions such as ear infections or ototoxicity from certain medications. While it is important to assess any changes in hearing, it is not typically an immediate concern in the context of a suspected allergic reaction.
D. "Do you have a headache?":
Headaches are a common symptom that can occur for various reasons, including stress, tension, dehydration, or as a side effect of medications. While headaches can sometimes occur as a side effect of certain drugs, they are not typically associated with severe allergic reactions such as anaphylaxis. Therefore, while it is important to assess for headaches, it is not as immediately concerning as difficulty breathing in the context of a suspected allergic reaction.
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