The nurse is obtaining a client's drug history prior to initiating therapy with gentamicin (Garamycin). The client takes furosemide (Lasix). Based on this information, the nurse identifies the client is at increased risk for:
1. nephrotoxicity.
2. ototoxicity.
3. pseudomembranous colitis.
4. photosensitivity.
Correct Answer: 2
Rationale 1: The risk for nephrotoxicity is increased if nephrotoxic drugs are prescribed concurrently.
Rationale 2: Concurrent use of more than one ototoxic drug increases the risk of hearing impairment.
Rationale 3: Pseudomembranous colitis is a serious adverse effect associated with tetracycline.
Rationale 4: Photosensitivity is associated with protein synthesis inhibitors, but not with calcium channel blockers or salicylates.
Global Rationale: Concurrent use of more than one ototoxic drug increases the risk of hearing impairment.
The risk for nephrotoxicity is increased if nephrotoxic drugs are prescribed concurrently. Pseudomembranous colitis is a serious adverse effect associated with tetracycline. Photosensitivity is associated with protein synthesis inhibitors, but is not potentiated by addition of furosemide.
You might also like to view...
Surgeries are commonly classified by which of the following? Select all that apply
a. Acuity b. Level of urgency c. Length of surgery d. Organ involved
The third phase of evidence-based research involves:
a. searching for evidence and evaluating. b. assessing the problem. c. developing a question. d. performing a critical appraisal.
Besides therapy groups, the other main type of client-focused group in psychiatric nursing is the:
a. work group b. support group c. orientation group d. friend group
A patient has been taking an antihistamine drug for 10 days and reports having drowsiness. What do you suspect the patient is experiencing?
A. Effective drug result B. Side effect C. Adverse reaction D. Allergic response