A nurse is preparing to administer an aminoglycoside to a client.
The nurse would be alert for the development of which of the following toxicities?

Nephrotoxicity.

Cardiotoxicity.

Hepatotoxicity.

Cytotoxicity.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Aminoglycosides are known to have nephrotoxic effects. Nephrotoxicity refers to kidney toxicity, and aminoglycosides can cause damage to the renal tubules, leading to impaired kidney function. The nurse should be alert to this potential toxicity when administering these drugs, as it can result in kidney dysfunction, altered serum creatinine levels, and electrolyte imbalances.

Choice B rationale:

Cardiotoxicity is not typically associated with aminoglycosides. These antibiotics primarily affect the kidneys and the inner ear. There is no direct relationship between aminoglycosides and cardiac toxicity.

Choice C rationale:

Hepatotoxicity refers to liver toxicity and is not a common side effect of aminoglycosides. Aminoglycosides are primarily metabolized in the kidneys and are excreted through urine, making kidney toxicity a more significant concern.

Choice D rationale:

Cytotoxicity is a broad term that refers to the toxicity of cells. Aminoglycosides do not typically cause generalized cytotoxic effects in the body. Their primary toxicities are related to specific organ systems, such as the kidneys and the inner ear.

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Correct Answer is A

Explanation

Choice A rationale:

Monitoring for the appearance of adverse reactions is a crucial aspect of managing a patient with TB undergoing treatment. TB medications can have side effects, and early detection of adverse reactions is essential for timely intervention. Some common adverse effects of TB drugs include hepatotoxicity, peripheral neuropathy, and gastrointestinal disturbances. By closely monitoring the patient, the nurse can ensure prompt action if these side effects occur, improving the patient's overall care and safety.

Choice B rationale:

Monitoring the patient's vital signs every 24 hours may be part of standard nursing care, but when managing a patient with TB, the primary focus should be on monitoring for adverse reactions to the TB medications. Vital signs are important but not the most critical aspect of care in this specific situation.

Choice C rationale:

Assessing the patient's history of contacts is essential for identifying potential sources of TB transmission. However, it is more related to the initial assessment and diagnosis of TB rather than ongoing assessment during treatment. The primary focus during treatment is monitoring the patient's response to medication and any adverse reactions.

Choice D rationale:

Using Directly Observed Therapy (DOT) to administer TB drugs is a standard practice to ensure treatment adherence. However, ongoing assessment should focus on monitoring for adverse reactions and treatment effectiveness rather than the administration method, which is usually established at the beginning of treatment.

A. Hypertension. B. Kidney stones. C. Vitamin B12 deficiency. D. Liver disease.

Correct Answer is D

Explanation

Choice A rationale:

Hypertension is not a medical condition that contraindicates the use of ginger for digestive purposes. Ginger is often considered safe for individuals with hypertension when used in moderation.

Choice B rationale:

Kidney stones are not directly related to the use of ginger for digestion. Ginger is generally safe for consumption, and there is no known link between ginger and the formation of kidney stones.

Choice C rationale:

Vitamin B12 deficiency, while important, is not a condition that specifically contraindicates the use of ginger for digestion. However, individuals with vitamin B12 deficiency may need to address the underlying issue with appropriate treatment.

Choice D rationale:

Before advising the client to take ginger to aid with digestion, the nurse should ensure that the client does not have liver disease. Ginger can impact liver function, and individuals with liver disease may need to avoid or limit its use. This precaution is important to prevent any adverse effects on the liver in vulnerable individuals.

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A nurse is preparing to administer an aminoglycoside to a client.The nurse would be alert for the development of which of the following toxicities?

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Naxlex Comprehensive Predictor Exams

A 72-year-old patient with TB is undergoing standard treatment in a health care facility.Which ongoing assessment would the nurse complete?

Correct Answer is A

Explanation

At a yearly physical examination, a client asks the nurse if it would be okay to take ginger to aid with digestion.Before telling the client it is okay to take ginger, which medical conditions should the nurse make sure the client does not have?

Correct Answer is D

Explanation

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A nurse is preparing to administer an aminoglycoside to a client.
The nurse would be alert for the development of which of the following toxicities?