A nurse should assess for hearing loss in the client with

A. Moderate congestive heart failure, who is receiving digoxin and a thiazide diuret-ic
B. Severe asthma, who is receiving high-dose intravenous corticosteroids
C. Cystic fibrosis, who is receiving high-dose tobramycin therapy
D. Hyperkalemia, who is being treated with intravenous glucose and insulin


C
All the aminoglycoside antibiotics, including tobramycin, are ototoxic and will induce a hearing loss in a relatively short period of time.

Nursing

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A client with severe obsessive-compulsive symptoms will be admitted to the hospital for a short stay

for assessment and initiation of therapy with a selective serotonin reuptake inhibitor. The assessments of critical importance include (more than one answer may be correct) A. anxiety level. B. sleep pattern. C. elimination. D. nutritional status. E. hygiene and grooming. F. presence of delusions and hallucinations.

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The nurse is administering a parenteral medication to the patient. Which action by the nurse demonstrates proper technique?

a. Using strict aseptic technique b. Using work-arounds to administer medications in a timely manner c. Injecting the medication smoothly but rapidly d. Inserting the needle into the patient's skin smoothly and slowly

Nursing

A client asks the nurse what pulmonary stenosis means. Which information should the nurse provide the client?

A. Narrowing between the pulmonary artery and the right ventricle. B. Narrowing between the pulmonary vein and left atrium. C. Narrowing between the pulmonary artery and left ventricle. D. Narrowing between the pulmonary vein and the right atrium.

Nursing

A nurse assessing a client in the fourth stage of labor notes that the uterine fundus is firmly contracted and is midline at the level of the umbilicus. On the basis of this finding, the nurse most appropriately:

A. Records the findings B. Massages the fundus C. Contacts the health care provider D. Helps the mother void

Nursing