A nurse is caring for a client who is receiving gentamicin to treat an infection associated with a burn. Which of the following findings should the nurse identify as an adverse effect of this medication?

Ototoxicity

Hypoglycemia

Cardiotoxicity

Confusion

Answer and Explanation

The Correct Answer is A

Rationale:

A. Ototoxicity: Gentamicin is an aminoglycoside antibiotic known for causing ototoxicity, which can manifest as tinnitus, vertigo, or hearing loss due to damage to the inner ear structures.

B. Hypoglycemia: This is not a known adverse effect of gentamicin. Hypoglycemia is more commonly associated with insulin or sulfonylurea medications.

C. Cardiotoxicity: Gentamicin is not typically associated with cardiotoxicity. Medications like anthracyclines (e.g., doxorubicin) are more likely to cause this effect.

D. Confusion: Although some antibiotics may cause neurotoxicity, confusion is not a common or expected adverse effect of gentamicin. Ototoxicity is more specific and well-documented.

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Correct Answer is A

Explanation

Rationale:

A. Emergent: Severe chest pain is potentially life-threatening and may indicate conditions like myocardial infarction. Immediate intervention is required to preserve life, making this an emergent priority in triage.

B. Nonurgent: This category applies to clients with minor issues that do not pose an immediate health threat. Severe chest pain would not fall here due to the risk of cardiac events.

C. Urgent: Urgent cases require prompt but not immediate care. While serious, this category is for stable clients who can wait briefly unlike someone with potential cardiac compromise.

D. Expectant: This category is used for clients whose injuries are so severe that survival is unlikely, even with treatment. A client with chest pain could still benefit from immediate care and is not considered expectant.

A. Implement the plan in the health care setting. B. Test the plan to see if refinements are needed. C. Determine whether the plan will result in an improvement. D. Adjust the plan as necessary to improve quality.

Correct Answer is C

Explanation

Rationale:

A. Implement the plan in the health care setting: Implementation is an important part of the quality improvement process, but it follows planning and assessment stages. Executing a plan before confirming its potential effectiveness can lead to ineffective interventions.

B. Test the plan to see if refinements are needed: Testing typically occurs after initial development and evaluation. While it's essential for refining the plan, it should not occur until the plan has been reviewed for its potential to produce meaningful improvements.

C. Determine whether the plan will result in an improvement: The first step in quality improvement planning is evaluating whether the proposed interventions are likely to produce a measurable and positive effect. This ensures that resources and efforts are directed toward impactful changes.

D. Adjust the plan as necessary to improve quality: Adjustments should be made based on data gathered during testing and implementation. Altering the plan before determining its likely impact or testing it limits the ability to identify what actually works.

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A nurse is caring for a client who is receiving gentamicin to treat an infection associated with a burn. Which of the following findings should the nurse identify as an adverse effect of this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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