The nurse is planning care for a client with diabetes who has been prescribed an aminoglycoside antibiotic for a serious infection. Which nursing diagnoses would take priority?

Question

Standard Text: Select all that apply.
1. Knowledge, Deficient related to drug therapy
2. Injury, Risk for related to adverse drug effects
3. Infection, Risk for
4. Fluid Volume: Deficient, Risk for related to diarrhea
5. Hyperthermia

Answer 1

Correct Answer: 1,2,3
Rationale 1: The client will need to learn the signs and symptoms of the serious adverse effects of nephrotoxicity and ototoxicity.
Rationale 2: Clinical applications for aminoglycosides are limited by their potential to cause nephrotoxicity and ototoxicity that can lead to kidney damage and hearing loss. These serious adverse effects make this nursing diagnosis a priority.
Rationale 3: Infection is a current problem and a priority.
Rationale 4: The risk of fluid volume deficit is not a priority unless measures to alleviate the risk fail.
Rationale 5: The risk for hyperthermia is not a priority unless it becomes an actual problem.
Global Rationale: The client must be educated about the serious adverse effects of this therapy as the risk of nephrotoxicity and ototoxicity are high. Infection is the patient's current problem, so this is a priority diagnosis. Risk of fluid volume deficit and hyperthermia are not current priorities.