A nurse is caring for a client receiving gentamicin. For which of the following should the nurse monitor the client?

Tinnitus

Tachycardia

Polyuria

Photophobia

Answer and Explanation

The Correct Answer is A

A. Tinnitus: Gentamicin is an aminoglycoside antibiotic that can cause ototoxicity, which includes symptoms such as tinnitus (ringing in the ears).
B. Tachycardia: This is not a typical adverse effect of gentamicin.
C. Polyuria: Gentamicin does not commonly cause increased urine output.
D. Photophobia: This is not a known side effect of gentamicin.

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Correct Answer is D

Explanation

A. "I should watch for weight loss.": Prednisone is more commonly associated with weight gain, not weight loss.
B. "I should increase the sodium in my diet.": Prednisone can cause sodium retention, and the client should monitor their sodium intake, not increase it.
C. "I will take this medication on an empty stomach.": Prednisone should be taken with food to reduce the risk of gastrointestinal irritation.
D. "I will report a sore throat to my provider.": Prednisone can suppress the immune system, making the client more susceptible to infections, such as throat infections, which should be reported.

A. Dyspnea B. Urticaria C. Chills D. Vomiting

Correct Answer is C

Explanation

A. Dyspnea: Dyspnea is more indicative of fluid overload or an anaphylactic reaction.
B. Urticaria: Urticaria is a hallmark of an allergic reaction to transfused plasma proteins.
C. Chills: A febrile nonhemolytic reaction, the most common transfusion reaction, is characterized by chills, fever, and sometimes mild dyspnea or headache.
D. Vomiting: Vomiting is not a typical manifestation of a febrile nonhemolytic reaction.

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Prescribed Medication	Nursing Instruction
Albuterol	"Take your albuterol when you are having difficulty breathing.” "Hold your breath for 20 seconds when taking your albuterol.”
Salmeterol	"Take the salmeterol 5 minutes before the albuterol when you need both medications." "Take the salmeterol 2 times each day."
Fluticasone	"Rinse out your mouth after taking the fluticasone." "Take the fluticasone as needed for an asthma attack."

A nurse is caring for a client receiving gentamicin. For which of the following should the nurse monitor the client?

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Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has a new prescription for prednisone to treat rheumatoid arthritis. Which of the following statements should indicate to the nurse that the client understands the teaching?

Correct Answer is D

Explanation

A nurse is monitoring a client who is receiving a transfusion of packed RBCs. The nurse should identify which of the following findings as an indication of a febrile nonhemolytic reaction?

Correct Answer is C

Explanation

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