The nurse caring for a client who is taking an aminoglycoside should monitor the client for which adverse effects of the medication? Select all that apply.
a) Seizures
b) Ototoxicity
c) Renal toxicity
d) Dysrhythmias
e) Hepatotoxicity
Answer:
b) Ototoxicity
c) Renal toxicity
d) Dysrhythmias
Rationale: Aminoglycosides are administered to inhibit the growth of bacteria. Adverse effects of this medication include confusion, ototoxicity, renal toxicity, gastrointestinal irritation, palpitations (dysrhythmias), blood pressure changes, and hypersensitivity reactions. Therefore, the remaining options are incorrect.
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A man with schizophrenia living in a slum area is punched, pushed to the ground, and robbed of $7 in broad daylight on a public street. Which statements about violence and serious mental illness in general are accurate? Select all that apply
a. Lower incomes force SMI persons to live in high-crime areas, increasing risk. b. Persons with SMI are more likely to be violent, endangering their SMI peers. c. Impaired judgment and social skills can provoke hostile or assaultive behavior. d. SMI persons experience higher rates of sexual assault and victimization than others do. e. SMI persons are more likely to commit crimes than to be the victims of crime. f. Criminals may believe SMI persons are less likely to resist or testify against them.
Standardized care plans are:
1. clinical pathways. 2. evaluation tools. 3. outcome criteria. 4. nursing intervention–based.
The young patient has a history of multiple allergies, and the physician prescribed epinephrine (EpiPen) for prevention of anaphylactic shock. The patient's mother says to the nurse, "I thought shock was about heart failure."
What is the best response by the nurse? 1. "There are many kinds of shock: heart failure, nervous system damage, loss of blood, and respiratory failure." 2. "Allergic response is the most fatal type of shock; other types involve loss of blood, heart failure, and liver failure." 3. "There are many kinds of shock that also include infection, nervous system damage, and loss of blood." 4. "Heart failure is the most serious kind of shock; others include infection, kidney failure, and loss of blood."
The nurse on an oncology unit is planning care for clients with various types of cancer. The nurse recognizes that certain cancer cells have a low growth fraction and are less sensitive to chemotherapeutic agents, including:
Standard Text: Select all that apply. 1. leukemia cells. 2. lymphoma cells. 3. breast cancer cells. 4. lung cancer cells. 5. bone marrow cells.