Take full exam for free

A male client has been receiving the antibiotic gentamicin sulfate, IV piggyback every 12 hours for several days. Which observation by the nurse indicates that the client may be experiencing an adverse effect of gentamicin?
Reference Range: White Blood Cell [5000 to 10,000/mm3 (5 to 10 x 109/L)]

White blood cell count of 6,000/mm3 (6 x 109/L).

Decreased blood urea nitrogen.

Hearing has decreased.

Reports of photophobia.

Answer and Explanation

The Correct Answer is C

Rationale:

A. A WBC count within the normal range does not indicate an adverse effect of gentamicin.

B. Gentamicin is more likely to increase BUN levels due to nephrotoxicity rather than decrease them.

C. Gentamicin is an aminoglycoside antibiotic known to cause ototoxicity, which can lead to hearing loss. Decreased hearing is a significant adverse effect that should be promptly addressed.

D. Photophobia is not a common side effect of gentamicin.

Free Nursing Test Bank

Take full exam free

View Related questions

A. Ensure the client knows to stop baclofen before using other antispasmodics. B. Monitor intake and output every 8 hours. C. Advise the client to move slowly and cautiously when rising and walking. D. Evaluate muscle strength every 4 hours.

Correct Answer is C

Explanation

Rationale:

A. Baclofen should not be stopped abruptly as it can cause withdrawal symptoms. The client should consult their healthcare provider before using other antispasmodic.

B. Monitoring intake and output every 8 hours is not specific to baclofen administration.

C. Baclofen can cause dizziness, drowsiness, and hypotension. Advising the client to move slowly and cautiously when rising and walking helps prevent falls or injury due to these side effects.

D. While muscle strength assessment is important, it is not required every 4 hours and does not specifically address the common side effects of baclofen.

A. "Examine your feet carefully every day." B. "Wear compression stockings daily." C. "Maintain stable blood glucose levels." D. "Have an eye examination once per year."

Correct Answer is C

Explanation

Rationale:

A. Examining feet daily is important for preventing foot complications, such as ulcers, in diabetics but is not directly related to preventing retinopathy and nephropathy.

B. Wearing compression stockings is not specifically recommended for preventing retinopathy or nephropathy in diabetes.

C. Maintaining stable blood glucose levels is crucial for preventing or slowing the progression of diabetic complications such as retinopathy and nephropathy. Good glycemic control minimizes the damage to blood vessels in the eyes and kidneys.

D. While regular eye exams are important for detecting retinopathy early, maintaining stable blood glucose levels is key to preventing the development of complications in the first place.

Free Nursing Test Bank

Correct Answer is C

Explanation

Correct Answer is C

Explanation

Quick Links

Resources

Free Nursing Test Bank

The nurse is administering the muscle relaxant baclofen by mouth (PO) to a client diagnosed with multiple sclerosis. Which intervention should the nurse implement?

Correct Answer is C

Explanation

A nurse is teaching an older adult client who has diabetes mellitus about preventing the long-term complications of retinopathy and nephropathy. Which of the following instructions should the nurse include?

Correct Answer is C

Explanation

The client's laboratory results indicate that the serum potassium level is 2.5 mEq/L (2.5 mmol/L). Which action should the nurse take? Reference Range: Potassium (K+) [3.5 to 5.0 mEq/L (3.5 to 5.0 mmol/L)]

The nurse is caring for a client who is taking the mood stabilizer divalproex sodium. Which laboratory value is most important for the nurse to monitor?

A client who is in shock is receiving a continuous IV infusion of a sympathomimetic dopamine. Which intervention should the nurse include in this client's plan of care?

Which intervention is most important for the nurse to implement when administering medications?

During the shift change report, the nurse is told that a client has a stage 2 pressure injury. Which ulcer appearance is most likely to be observed?

A client taking temazepam informs the nurse of plans to quit taking the medication due to feelings of "hungover" the next day. Which action should the nurse implement?

To assess a male client's muscle strength, the nurse first asks the client to extend his arms. Before asking the client to flex his arms, what should the nurse do?

While assessing placement of a nasogastric tube (NGT), the nurse aspirates cloudy green fluid into a syringe. Which intervention should the nurse implement?

Quick Links

Resources