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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.

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A. Administer albuterol via nebulizer. B. Listen to the lungs fields. C. Measure urine output. D. Review serum potassium.

Correct Answer is B

Explanation

Rationale:

A. Administering albuterol may help if the shortness of breath is due to bronchospasm, but the priority in heart failure is to assess fluid status and respiratory function.

B. Listening to lung fields is crucial to assess for signs of pulmonary edema, which is a common complication in heart failure. This assessment helps determine the effectiveness of the furosemide and whether further intervention is needed.

C. Measuring urine output is important but secondary to assessing respiratory status.

D. Reviewing serum potassium is important but not as urgent as assessing the client's respiratory status.

A. Administer a prescribed antianxiolytic. B. Allow the client to rest before taking the vital signs. C. Notify the client representative. D. Offer the client hot tea to promote relaxation.

Correct Answer is B

Explanation

Rationale:

A. Administering an antianxiolytic might be premature and should only be done if prescribed and necessary.

B. Allowing the client to rest before taking vital signs helps ensure that the measurements are accurate and not influenced by recent emotional distress.

C. Notifying the client representative might be relevant later, but addressing the client's immediate needs and emotional state is the priority.

D. Offering hot tea may not be appropriate in this situation and does not directly address the need for accurate vital signs.

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Correct Answer is B

Explanation

Correct Answer is B

Explanation

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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)]

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