A nurse is caring for a client who is receiving gentamicin, an aminoglycoside antibiotic, for a severe infection.
The nurse should monitor the client for which adverse effects of this drug? (Select all that apply.)

Ototoxicity

Nephrotoxicity

Hepatotoxicity

Neuromuscular blockade

Thrombocytopenia.

Answer and Explanation

Correct Answer : A,B

Gentamicin is an aminoglycoside antibiotic that can cause ototoxicity (damage to the inner ear) and nephrotoxicity (damage to the kidneys) as serious side effects. These effects may be irreversible and can occur even at therapeutic doses. Therefore, the nurse should monitor the client’s hearing, balance, urine output, and blood tests for kidney function while on this drug.

Choice C is wrong because gentamicin does not cause hepatotoxicity (damage to the liver).

This is more common with other antibiotics such as isoniazid or rifampin.

Choice D is wrong because gentamicin does not cause neuromuscular blockade (paralysis of muscles).

This is more common with other aminoglycosides such as neomycin or tobramycin.

Choice E is wrong because gentamicin does not cause thrombocytopenia (low platelet count).

This is more common with other drugs such as heparin or sulfonamides.

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

Explanation

Tetracycline can causephotosensitivity, which means increased sensitivity to sunlight and risk of sunburn.It can also causesuperinfection, which means overgrowth of resistant bacteria or fungi in the mouth, intestines, or vagina.

Choice B is wrong because tetracycline can causetooth discolorationin children under 8 years old, not in adults.

Choice C is wrong because tetracycline can causehepatic impairmentonly in patients with preexisting liver disease or who take high doses for a long time.

Choice E is wrong because tetracycline can causebone marrow suppressiononly in patients with preexisting blood disorders or who take high doses for a long time.

A. Jaundice B. Vision changes C. Hearing loss D. Orange-colored urine E. Numbness in the hands or feet.

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

Explanation

Jaundice, vision changes and numbness in the hands or feet are possible adverse effects of the drugs used to treat tuberculosis.The nurse should instruct the client to report these signs or symptoms as they may indicate liver damage, optic neuritis or peripheral neuropathy respectively.

Choice C is wrong because hearing loss is not a common side effect of these drugs.Hearing loss may be caused by other drugs such as aminoglycosides.

Choice D is wrong because orange-colored urine is a harmless side effect of rifampin and does not need to be reported.

The nurse should inform the client about this expected change and reassure them that it is not harmful.

The normal ranges for liver function tests are:

• AST: 10-40 U/L

• ALT: 7-56 U/L

• ALP: 45-115 U/L

• Bilirubin: 0.1-1.2 mg/dL

The normal range for visual acuity is 20/20.

The normal range for sensation is intact and symmetrical in all extremities.

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A nurse is caring for a client who is receiving gentamicin, an aminoglycoside antibiotic, for a severe infection. The nurse should monitor the client for which adverse effects of this drug? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is administering tetracycline, a broad-spectrum antibiotic, to a patient who has acne vulgaris. The nurse should monitor the patient for which of the following adverse effects of this medication? (Select all that apply.)

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

Explanation

A nurse is teaching a client who has tuberculosis about the prescribed drug regimen, which includes isoniazid, rifampin, pyrazinamide, and ethambutol. The nurse should instruct the client to report which signs or symptoms as possible adverse effects of these drugs? (Select all that apply.)

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

Explanation

Which term is used to describe an agent that inhibits bacterial growth but does not kill bacteria?

Which antibiotics are classified as concentration-dependent antimicrobials?

A nurse is teaching a client who has been prescribed tetracycline, a tetracycline antibiotic, for acne vulgaris. Which of these instructions should the nurse include in the teaching? (Select all that apply.)

A nurse is caring for a client who is receiving gentamicin, an aminoglycoside antibiotic, for a severe infection. The nurse should monitor the client for which adverse effects of this drug? (Select all that apply.)

A patient is receiving cefazolin, a first-generation cephalosporin, for a surgical prophylaxis. The nurse should assess the patient for which of the following possible allergic reactions? (Select all that apply.)

The nurse is providing discharge teaching for a patient who will be taking oral linezolid (Zyvox) to treat a complicated skin infection caused by vancomycin-resistant enterococci (VRE). Which statement by the patient indicates a need for further teaching?

A nurse is preparing to administer flucytosine to a client who has a systemic fungal infection. Which of the following assessments should the nurse perform before giving this medication? (Select all that apply.).

The nurse identifies which host factor as the most important when choosing an antimicrobial drug?

A nurse is caring for a client who is receiving gentamicin, an aminoglycoside antibiotic, for a severe infection.
The nurse should monitor the client for which adverse effects of this drug? (Select all that apply.)