The nurse is caring for a client receiving gentamicin IV. Which adverse effect would the nurse report to the prescriber immediately?
1. Nausea
2. Diarrhea
3. Ototoxicity
4. Increased urinary output
3
Rationale 1: Nausea does not need to be reported to the prescriber.
Rationale 2: Diarrhea does not need to be reported to the prescriber.
Rationale 3: Ototoxicity is an adverse effect that could occur while receiving gentamicin. This could become permanent with continued use.
Rationale 4: Increased urinary output can occur with this antibiotic as it is given IV. However, this side effect does not need to be reported.
Global Rationale: Ototoxicity is an adverse effect that could occur while receiving gentamicin. This could become permanent with continued use. Nausea and diarrhea are common adverse effects of gentamicin and do not require notification to the physician. Increased urinary output is not an adverse reaction to gentamicin.
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