A nurse is caring for a client receiving gentamicin. For which of the following should the nurse monitor the client?
Tinnitus
Tachycardia
Polyuria
Photophobia
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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Related Questions
Correct Answer is B
Explanation
A. Heart rate: While important, it is not as directly impacted by codeine as respiratory rate.
B. Respiratory rate: Codeine is an opioid and can cause respiratory depression. Monitoring respiratory rate is the priority.
C. Blood pressure: Hypotension may occur but is less urgent than respiratory depression.
D. Level of consciousness: Sedation is a possible effect, but respiratory rate takes precedence in monitoring.
Correct Answer is B
Explanation
A. "I will crush the tablet to make it easier to swallow.": Sustained-release tablets should not be crushed or chewed, as this alters the release mechanism.
B. "I will increase my daily intake of fiber and fluid.": Verapamil can cause constipation, so increasing fiber and fluid intake helps prevent this side effect.
C. "I will follow up with monthly laboratory tests to check for anemia.": Verapamil does not typically require monitoring for anemia.
D. "I will sit upright for 30 minutes after taking the medication.": This advice is more relevant for medications that can cause esophageal irritation, such as bisphosphonates, not verapamil.
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