The nurse is caring for a client receiving gentamicin IV. Which adverse effect would the nurse report to the physician immediately?
1. Nausea
2. Diarrhea
3. Ototoxicity
4. Increased urinary output
Correct Answer: 3
Rationale 1: Nausea is incorrect. Ototoxicity is an adverse effect that could occur while receiving gentamicin. This could become permanent with continued use.
Rationale 2: Diarrhea is incorrect. Ototoxicity is an adverse effect that could occur while receiving gentamicin. This could become permanent with continued use.
Rationale 3: Ototoxicity is an adverse effect that could occur while receiving gentamicin. This could become permanent with continued use.
Rationale 4: Increased urinary output is incorrect. Ototoxicity is an adverse effect that could occur while receiving gentamicin. This could become permanent with continued use.
Global Rationale: Ototoxicity is an adverse effect that could occur while receiving gentamicin. This could become permanent with continued use. Nausea and diarrhea are common adverse effects to gentamicin and do not require notification to the physician. Increased urinary output is not an adverse reaction to gentamicin.
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