A nurse is providing teaching to a client who has a skin infection and a new prescription for gentamicin topical cream. Which of the following instructions should the nurse provide?
Wash the affected area with soap and water before applying cream.
Apply a heavy layer of cream well beyond the border of the affected site.
The meditation might cause temporary blurted vision.
Increase intake of fluids while using this medication
The Correct Answer is A
According to Mayo Clinic, before applying gentamicin topical cream, one should wash the affected area with soap and water and dry thoroughly. Then apply a small amount to the affected area and rub in gently.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Dyspnea (difficulty breathing), an increased respiratory rate, and cyanosis (bluish discolouration of the skin and mucous membranes due to lack of oxygen) are early signs of respiratory distress that the nurse should assess for in a patient who has been given a neuromuscular-blocking agent. These medications can cause respiratory depression and compromise the patient’s ability to breathe effectively.
Correct Answer is A
Explanation
The correct answer is choice A. “Monitor for ringing in your ears.”
Choice A rationale:
Erythromycin can cause ototoxicity, which may present as tinnitus (ringing in the ears). Monitoring for this side effect is important to prevent potential hearing damage.
Choice B rationale:
Yellowing of the skin is not a common side effect of erythromycin. This symptom is more associated with liver issues or jaundice, which is not typically linked to erythromycin use.
Choice C rationale:
Erythromycin is more likely to cause gastrointestinal side effects such as diarrhea rather than constipation. Increasing fiber intake is not necessary to prevent constipation when taking this medication.
Choice D rationale:
Grapefruit juice can interfere with the metabolism of many medications, including erythromycin, potentially leading to increased drug levels and risk of side effects. It is generally advised to avoid grapefruit juice while taking erythromycin.
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