A patient with tuberculosis returns to the clinic for daily antibiotic injections for a urinary infection.
The patient has been taking antitubercular medications for 10 weeks and reports ringing in the ears.
Which prescribed medication should the practical nurse (PN) report to the healthcare provider?ider?
Pyridoxine with a B complex multivitamin by mouth (PO) daily.
Rifampin 600 mg by mouth (PO) daily.
Gentamicin 160 mg intramuscular (IM) daily.
Isoniazid 300 mg by mouth (PO) daily.
The Correct Answer is C
Choice A rationale
Pyridoxine with a B complex multivitamin is not typically associated with ototoxicity (ringing
in the ears)7.
Choice B rationale
Rifampin is an antitubercular medication, but it is not commonly associated with ototoxicity.
Choice C rationale
Gentamicin is an antibiotic that is known to potentially cause ototoxicity, including ringing in
the ears. Therefore, if a patient who has been receiving gentamicin reports ringing in the ears,
this should be reported to the healthcare provider.
Choice D rationale
Isoniazid is an antitubercular medication, but it is not commonly associated with ototoxicity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
If a child undergoing a blood transfusion complains of itchy skin and appears flushed, these
could be signs of a transfusion reaction. The PN should stop the transfusion immediately.
Choice B rationale
While inspecting the infusion site is a part of regular monitoring during a transfusion, it would
not typically be the first action in response to symptoms of a possible transfusion reaction.
Choice C rationale
Applying lotion to the skin would not address the underlying issue if the child is experiencing a
transfusion reaction.
Choice D rationale
Checking the vital signs is important, but the first action should be to stop the transfusion if a
reaction is suspected.
Correct Answer is B
Explanation
Misoprostol is a medication used to prevent stomach ulcers in patients who take nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen over a long period. NSAIDs can cause stomach ulcers, and misoprostol works by reducing the amount of acid in the stomach and replacing the protective substances in the stomach that are reduced by NSAIDs. Therefore, relief of epigastric pain (pain in the upper middle part of the abdomen) would indicate that the medication is effective.
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