An older adult has been prescribed an aminoglycoside antibiotic. The nurse would immediately contact the physician if the client exhibits which symptoms?
Standard Text: Select all that apply.
1. High-pitched tinnitus
2. Vertigo
3. Nausea and vomiting
4. Diarrhea
5. Rash
Correct Answer: 1,2,3
Rationale 1: High-pitched tinnitus may be a symptom of ototoxicity and impending inner ear damage.
Rationale 2: Vertigo may be a symptom of ototoxicity and impending inner ear damage.
Rationale 3: Nausea and vomiting may be symptoms of ototoxicity and impending inner ear damage.
Rationale 4: Diarrhea is not a symptom of a severe adverse reaction to the aminoglycoside and would not need to be reported immediately to the physician.
Rationale 5: Rash is not a symptom of a severe adverse reaction to the aminoglycoside and would not need to be reported immediately to the physician.
Global Rationale: Because many older adults have some degree of preexisting hearing impairment, permanent deafness may occur in this group. Signs of impending inner ear damage include high-pitched tinnitus, headache, nausea, vomiting, and vertigo. Diarrhea may occur when taking aminoglycosides, but is not a reason to immediately collaborate with the prescriber. Rash is not associated with aminoglycosides.
You might also like to view...
How do foods such as soybeans, turnips, and rutabagas affect people with thyroid disorders?
a. Suppress thyroid hormone. b. Decrease the hypothermia of the person with hypothyroidism. c. Supplement the diet of a person with hy-pothyroidism. d. Counteract the effect of iodide therapy.
Which home care instructions should the nurse provide to the parents of a child with acquired immunodeficiency syndrome (AIDS)? Select all that apply
a. Give supplemental vitamins as prescribed. b. Yearly influenza vaccination should be avoided. c. Administer trimethoprim-sulfamethoxazole (Bactrim) as prescribed. d. Notify the physician if the child develops a cough or congestion. e. Missed doses of antiretroviral medication do not need to be recorded.
The nurse notes that a patient's endotracheal tube (ET), which was at the 22-cm mark, is now at the 25-cm mark and the patient is anxious and restless. Which action should the nurse take next?
a. Offer reassurance to the patient. b. Bag the patient at an FIO2 of 100%. c. Listen to the patient's breath sounds. d. Notify the patient's health care provider.
A home care worker would be least likely to work in a(n)
A) hospital. B) assisted living facility. C) hospice. D) residence.