The patient has a methicillin-resistant Staphylococcus aureus (MRSA) infection in an abdominal surgical wound
The patient is in a private room, is receiving vancomycin (Vancocin) for the MRSA, and pain is well controlled with a morphine sulfate patient-controlled analgesia (PCA) pump, and is receiving docusate sodium (Colace) to prevent constipation. During the nurse's rounds, the patient begins complaining of ringing in the ears. Which is the most likely cause for the patient's tinnitus? a. Surgical anesthesia
b. Morphine sulfate
c. Vancomycin
d. Docusate sodium
C
Ototoxic medications, such as analgesics, antibiotics (such as vancomycin and aminoglycosides), or diuretics, affect hearing acuity, balance, or both, with the most common symptom being tinnitus (ringing in the ears). Surgical anesthesia, morphine, and docusate sodium do not have the side effect of ototoxicity or tinnitus.
You might also like to view...
On their first visit to a critically ill patient, family members stand in the doorway of the room, making no effort to approach the patient. What is the most appropriate nursing action?
A) Instruct the family where the patient can be touched and what to say. B) Engage the family in social conversation to ease them into the milieu. C) Use visiting hours to explain to the family the general status of the patient. D) Leave the family to adjust to the situation when they are ready.
A patient admitted with inflammatory bowel disease asks the nurse for help with menu selections. What menu selection is the best choice for this patient?
A) Taco B) Tofu C) Multigrain bagel D) Blueberries
A client has been diagnosed with major depression. The client reports that he often wakes up during the night and has trouble returning to sleep. The nurse assesses that the client is probably demonstrating which symptom of major depression?
A) Initial insomnia B) Terminal insomnia C) Hypersomnia D) Middle insomnia
The nurse in charge of a clinical study welcomes the participants in an open forum. One client is surprised that there are men and women from several ethnic groups. The nurse explains that in the past, ethnic variables were largely unknown or ignored for what reasons?Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.
A. Clinical trials failed to include ethnically diverse subjects. B. Clinical trials comprised mostly Caucasian males. C. Little attention was focused on identifying the different effects drugs had on various ethnic groups. D. Research proved there were no differences among ethnic groups. E. The large majority of clinical trials included Caucasian females.