A nurse is collecting data from a client who has pyelonephritis and is receiving gentamicin via IV infusion.

Which of the following manifestations should the nurse identify as an adverse eﬀect of the treatment?

Slurred speech

Hypotension

New onset of hearing loss

Hyperthermia

Answer and Explanation

The Correct Answer is C

c. New onset of hearing loss.

When collecting data from a client who is receiving gentamicin via IV infusion, the nurse should identify new onset of hearing loss as an adverse eﬀect of the treatment¹. Gentamicin can cause vestibulocochlear nerve damage, which can aﬀect hearing and balance¹.

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Correct Answer is A

Explanation

A nurse caring for a client who is 2 days postoperative following an above-the-knee amputation should encourage the client to use the overbed trapeze. This will promote independence and mobility by allowing the client to reposition themselves in bed and perform upper body exercises.

Maintaining abduction of the client's residual limb with a pillow can help prevent contractures, but it does not directly promote mobility.

Cautioning the client to avoid a prone position while in bed is appropriate to prevent pressure injuries and promote healing, but it also does not directly promote mobility.

Keeping a loose, absorbent dressing over the client's surgical site is important for infection control but does not promote mobility.

A. Place the client in the supine position. B. Prepare to administer oxygen via Venturi face mask. C. Add a humidifier to the oxygen device. D. Encourage client to perform deep breathing exercises. E. Examine the client's nail beds.

Correct Answer is ["C","D","E"]

Explanation

When managing oxygenation for a client in a PACU, the nurse should take several actions. The nurse should add a humidifier to the oxygen device to help prevent dryness of the nasal passages¹.

The nurse should also encourage the client to perform deep breathing exercises to promote oxygenation¹.

Additionally, the nurse should examine the client's nail beds for signs of cyanosis, which can indicate inadequate oxygenation¹.

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A nurse is collecting data from a client who has pyelonephritis and is receiving gentamicin via IV infusion. Which of the following manifestations should the nurse identify as an adverse eﬀect of the treatment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is 2 days postoperative following an above-the-knee amputation. Which of the following actions should the nurse take to promote progression toward independence and mobility for the client?

Correct Answer is A

Explanation

Correct Answer is ["C","D","E"]

Explanation

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A nurse is collecting data from a client who has pyelonephritis and is receiving gentamicin via IV infusion.

Which of the following manifestations should the nurse identify as an adverse eﬀect of the treatment?