2-month-old patient with current active infection. Being treated with neomycin.
Complete the following sentence by using the list of options.
The nurse understands that neomycin may cause serious adverse effects such as dropdown and dropdown
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}
The nurse understands that neomycin may cause serious adverse effects such as ototoxicity and
pseudomembranous colitis.
i. Ototoxicity: Neomycin is part of the aminoglycoside class of antibiotics, which are known to cause ototoxicity, potentially leading to hearing loss, tinnitus, or balance issues. The risk is particularly high in young children or when administered at high doses over long periods.
Rationale for other options:
- Constipation: This is not a known serious adverse effect of neomycin.
- Hypercalcemia: Elevated calcium levels (hypercalcemia) are not typically associated with neomycin use.
- Thrombocytopenia: While aminoglycosides can occasionally cause hematologic effects, thrombocytopenia (low platelet count) is not a common adverse effect of neomycin.
ii. Pseudomembranous colitis: Neomycin, like other antibiotics, can disrupt the normal balance of gut flora, leading to an overgrowth of Clostridioides difficile, which can cause pseudomembranous colitis, a severe inflammatory condition of the colon.
Rationale for other options:
- Hypotrichosis: This refers to reduced hair growth and is not related to neomycin. It can cause hypertrichosis instead.
- Photosensitivity: Neomycin is not known to cause photosensitivity reactions.
- Hyperpigmentation: Neomycin typically causes hypopigmentation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"C"},"B":{"answers":"D"},"C":{"answers":"A"},"D":{"answers":"B"}}
Explanation
Anemia Due to CKD (Chronic Kidney Disease)
- Epogen: Epogen (epoetin alfa) is used to treat anemia caused by chronic kidney disease (CKD) by stimulating red blood cell production.
Iron Deficiency Anemia
- Ferrous Sulfate: Ferrous sulfate is used to treat iron deficiency anemia by increasing iron stores necessary for red blood cell production.Pernicious Anemia
- Cyanocobalamin: Pernicious anemia is caused by a deficiency in vitamin B12, so cyanocobalamin (vitamin B12) is used for treatment.
Folate Deficiency Anemia
- Folic Acid: Folic acid deficiency anemia is treated with folic acid supplements.
Correct Answer is B
Explanation
A. Uterine cancer: No known contraindications exist between this condition and sulfamethoxazole/trimethoprim.
B. Client taking captopril for hypertension: Sulfamethoxazole/trimethoprim can increase potassium levels, and captopril (an ACE inhibitor) also raises potassium levels. Using these drugs together increases the risk of hyperkalemia, a dangerous condition.
C. Osteoporosis: This condition does not contraindicate the use of sulfamethoxazole/trimethoprim.
D. Multiple Sclerosis: No known contraindications exist for this condition with sulfamethoxazole/trimethoprim.
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