A client is prescribed gentamicin (Garamycin) concurrently with acyclovir (Zovirax). Which assessment would be the priority for the nurse?
1. Balance
2. Kidney function lab tests
3. Hearing
4. Visual acuity
Correct Answer: 2
Rationale 1: The concurrent use of acyclovir and gentamicin is not associated with vestibular toxicity.
Rationale 2: Concurrent use of gentamicin and acyclovir increases the risk of nephrotoxicity. A symptom of nephrotoxicity would be detected by monitoring kidney function tests.
Rationale 3: Acyclovir is not associated with ototoxicity.
Rationale 4: Visual disturbances are not associated with gentamicin therapy.
Global Rationale: Concurrent use of gentamicin and acyclovir increases the risk of nephrotoxicity. A symptom of nephrotoxicity would be detected by monitoring kidney function tests. Gentamycin alone can cause vertigo and ototoxicity, but these findings are not complicated by the addition of acyclovir. Visual acuity is not affected.
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