A patient is receiving telithromycin. Based on the nurse's understanding of potential adverse reactions, the nurse would identify which nursing diagnosis as a priority?
A) Ineffective Renal Tissue Perfusion
B) Risk for Injury
C) Diarrhea
D) Risk for Impaired Skin Integrity
Ans: B
Feedback:
Telithromycin can cause visual disturbances such as difficulty focusing and accommodating to light. Therefore, the priority nursing diagnosis would be Risk for Injury related to these visual disturbances. Aminoglycosides can cause nephrotoxicity, leading to a nursing diagnosis of Ineffective Renal Perfusion. Although diarrhea and skin rashes can occur, these would not be a priority at this time.
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Bridging may be used to keep the heels free from pressure.
Answer the following statement true (T) or false (F)
Which statement is true regarding adverse drug events (ADEs)?
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