A nurse is caring for a client who is prescribed with for cervicitis. The client has been taking this medication for one week and noted hearing loss, vertigo, and tinnitus. Based on the client's signs and symptoms, which of the following is a complication of this medication?

Shortened QT interval

Sedation

Ototoxicity

Hepatotoxicity

Answer and Explanation

The Correct Answer is C

A. Incorrect: Shortened QT interval is not associated with this type of medication.

B. Incorrect: Sedation is not a known side effect of antibiotics used for cervicitis.

C. Correct: Ototoxicity (manifesting as hearing loss, vertigo, and tinnitus) is a potential adverse effect of macrolide antibiotics like azithromycin, which is commonly prescribed for cervicitis.

D. Incorrect: Hepatotoxicity can occur with some medications but does not typically present with hearing loss, vertigo, and tinnitus.

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Correct Answer is D

Explanation

A. Incorrect: 1130 is too late for an accurate peak level.

B. Incorrect: 1100 is later than necessary for a peak level.

C. Incorrect: 1000 is when the infusion ends, but the drug has not yet reached peak levels in the blood.

D. Correct: Gentamicin peak levels are typically measured 30 minutes after the infusion is completed. Since the infusion starts at 0900 and runs for 60 minutes (until 1000), the peak level should be drawn at 1030.

A. Pruritus B. Paresthesia of the hands and feet C. Drowsiness D. Reflex tachycardia

Correct Answer is ["A","B"]

Explanation

A. Correct: Pruritus (itching) may indicate a hypersensitivity reaction.

B. Correct: Paresthesia (numbness/tingling) is a sign of neurotoxicity, a known side effect of aminoglycosides like gentamicin.

C. Incorrect: Drowsiness is not a common adverse effect of gentamicin.

D. Incorrect: Reflex tachycardia is not typically associated with gentamicin.

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A nurse is caring for a client who is prescribed with for cervicitis. The client has been taking this medication for one week and noted hearing loss, vertigo, and tinnitus. Based on the client's signs and symptoms, which of the following is a complication of this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is administering gentamicin by intravenous (IV) route at 0900. The medication will take 60 minutes to infuse. When should the nurse obtain a blood sample for a peak blood level of gentamicin?

Correct Answer is D

Explanation

A nurse is caring for a client starting a course of gentamicin IV for a serious respiratory infection. Which of the following manifestations should the nurse monitor as an adverse effect of this medication? (Select All That Apply.).

Correct Answer is ["A","B"]

Explanation

A. Incorrect: Deep vein thrombosis (DVT) is not a known complication of isoniazid.

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