An older adult patient is prescribed amikacin (Amikin). Which assessment technique is most important for the nurse to perform daily?
a. Asking about numbness in fingers and toes
b. Measuring calf circumference of both legs
c. Checking the mouth for open sores
d. Asking about ringing in the ears
D
Amikacin can be toxic to the ears (ototoxic), especially among older adults. One of the first signs of ototoxicity is ringing in the ears (tinnitus) which often occurs before actual hearing loss. The nurse must check the patient daily for tinnitus and changes in hearing.
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The patient who had a colporrhaphy for the repair of a cystocele and rectocele asks that the catheter be removed as it is bothersome to her. How should the nurse explain the reason for the catheter?
a. It replaces uncomfortable gauze packing b. It will prevent adhesions and will be in place for about 2 weeks c. It allows for quick urine sample collection d. It keeps the bladder empty, and prevents stress on the sutures
Homeostasis in the body is maintained by what is collectively known as the neuroendocrine system. What is the name of the nervous system that is involved?
a. Central b. Skeletal c. Peripheral d. Autonomic
Which example contains the components necessary to form an epidemiologic triangle?
a. Pesticides, water, food b. Lead, mercury, soil c. Trichloroethylene, water, infants d. Children under 12, elderly, temperature
Each of the following factors may contribute to a diagnosis of acute confusion EXCEPT:
1. disrupted circadian rhythm. 2. infection. 3. apraxia. 4. electrolyte imbalance.