The nurse is caring for a patient receiving gentamicin (Garamycin) intravenously (IV). What statement by the patient would most concern the nurse? "I am experiencing
a. dizziness."
b. ear pain."
c. tone deafness."
d. high-pitched tinnitus."
D
The first sign of impending cochlear damage is high-pitched tinnitus (ringing in the ears).
As injury to cochlear hair cells proceeds, hearing in the high-frequency range begins to decline.
The first sign of vestibular damage is headache, which may last 1 to 2 days. Nausea, unsteadi-ness, dizziness, and vertigo then begin to appear.
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As the nurse prepares to care for a client who has significant auditory impairment, alternative modes of verbal communication that can be used include: Standard Text: Select all that apply
1. E-mail 2. Facial expression 3. Gestures 4. Books 5. Text messaging
A nurse is preparing to administer pantoprazole (Protonix) intravenously. What actions by the nurse are most appropriate? (Select all that apply.)
a. Administer the drug through a separate IV line. b. Infuse pantoprazole using an IV pump. c. Keep the drug in its original brown bag. d. Take vital signs frequently during infusion. e. Use an in-line IV filter when infusing.
A patient has been admitted after the insertion of a pacemaker because of bradycardia. She asks what third-degree heart block is, and the nurse replies
a. "Coronary blood vessel occlusion causing slow contraction of the right ventricles." b. "Sclerosis of cardiac valves causing slow pulse." c. "A defect in AV junctions slows and impairs conduction of impulses from the SA node to the ventricles." d. "Increased pressure in the pulmonary vessels."
The nurse is planning care for a patient with mental illness. What is true regarding patient goals?
1. They should be clear and general. 2. They should be general and open-ended. 3. They should be concrete and measurable. 4. They should be universal and standard.