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 C

Explanation

The client should avoid sexual intercourse until treatment is completed.This is because trichomoniasis is a sexually transmitted infection that can be passed between partners during penile-vaginal sex or through transmission of infected vaginal fluids or fomites among women who have sex with women. Therefore, abstaining from sex until both partners are cured can prevent reinfection and transmission.

Choice A is wrong because taking the medication with an antacid can reduce its absorption and effectiveness.Tinidazole should be taken with food to minimize gastrointestinal side effects.

Choice B is wrong because drinking plenty of fluids to prevent crystalluria is not relevant for tinidazole.

Crystalluria is a condition where crystals form in the urine, which can cause kidney stones or damage.This is a potential complication of some antibiotics, such as sulfonamides, but not tinidazole.

Choice D is wrong because chewing the tablets thoroughly before swallowing is not necessary for tinidazole.Tinidazole tablets are film-coated and can be swallowed whole with water.

Chewing the tablets may alter their release and absorption, and may also cause a bitter aftertaste.

A. Resistant infection B. Superinfection C. Nosocomial infection D. Allergic reaction.

Correct Answer is B

Explanation

A superinfection is defined as an infection that comes second to an initial infection and is often caused by the elimination of normal flora by an antibiotic.

Normal flora are the microorganisms that normally live in the human body and help prevent the growth of harmful pathogens.

When an antibiotic kills the normal flora, it creates an opportunity for other microorganisms to overgrow and cause a new infection.

Choice A is wrong because a resistant infection is an infection that does not respond to an antibiotic due to the presence of resistant bacteria.

Resistance can occur when bacteria mutate or acquire genes that make them able to survive the antibiotic.

Choice C is wrong because a nosocomial infection is an infection that is acquired in a hospital or health care setting.

Nosocomial infections can be caused by various factors, such as exposure to contaminated equipment, poor hygiene practices, or transmission from other patients or staff.

Choice D is wrong because an allergic reaction is an immune response to a foreign substance that is not harmful.

Allergic reactions can occur when a person is sensitive to an antibiotic or any other drug.

Symptoms of an allergic reaction may include rash, itching, swelling, or difficulty breathing.

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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.)

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has trichomoniasis and is prescribed tinidazole. Which of the following instructions should the nurse give to the client?

Correct Answer is C

Explanation

The development of a new infection as a result of the elimination of normal flora by an antibiotic is referred to as what?

Correct Answer is B

Explanation

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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.)