A nurse is assessing a client who is taking gentamicin. For which of the following findings should the nurse withhold the medication?
Tinnitus
Altered taste sensation
Tremors
Photosensitivity
The Correct Answer is A
A. Tinnitus: Gentamicin is an aminoglycoside antibiotic with ototoxic potential. The presence of tinnitus may indicate early ototoxicity, and withholding the medication is necessary to prevent further auditory damage.
B. Altered taste sensation: Changes in taste are generally mild and not a life-threatening side effect. They do not require withholding the medication but should be documented and monitored.
C. Tremors: Tremors can occur with certain medications or electrolyte imbalances, but they are not a common reason to withhold gentamicin unless accompanied by other signs of neurotoxicity.
D. Photosensitivity: Photosensitivity is not a typical adverse effect of gentamicin. While clients may be advised to avoid excessive sun exposure for some medications, this side effect does not necessitate withholding the drug.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. A young adult who has a febrile illness: Receiving an inactivated influenza vaccine during an acute febrile illness can increase the risk of adverse reactions and may reduce the immune response. Vaccination should be postponed until the illness resolves.
B. A young adult who is pregnant: Inactivated influenza vaccines are safe during pregnancy and are recommended to protect both the mother and the fetus from influenza-related complications. Pregnancy is not a contraindication.
C. A child who has a hypersensitivity to amoxicillin: Hypersensitivity to antibiotics like amoxicillin does not contraindicate the influenza vaccine, as there is no cross-reactivity between amoxicillin and the vaccine components.
D. A child who has cerebral palsy: Cerebral palsy is a neurological condition and does not prevent administration of the inactivated influenza vaccine. Vaccination is encouraged in children with chronic conditions to reduce infection risk.
Correct Answer is A
Explanation
A. Estrogen-progestin combination: Carbamazepine induces hepatic enzymes, which can increase the metabolism of estrogen and progestin. This reduces the effectiveness of hormonal contraceptives, increasing the risk of unintended pregnancy.
B. Nicotine transdermal system: Nicotine does not have a significant interaction with carbamazepine. The metabolism and pharmacologic effects of nicotine are not substantially altered by enzyme induction from carbamazepine.
C. Diphenhydramine: Diphenhydramine is an antihistamine and does not have a major interaction with carbamazepine. Concurrent use does not significantly affect the efficacy or metabolism of either drug.
D. Beclomethasone: Inhaled corticosteroids like beclomethasone are minimally affected by carbamazepine because they have limited systemic absorption. No clinically significant interaction is expected.
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