A client is prescribed a medication that is ototoxic. The nurse realizes that this medication may cause:
1. permanent or temporary vision loss.
2. permanent or temporary hearing loss.
3. nausea and vomiting.
4. central nervous system (CNS) depression.
2
Although many drugs cause nausea and vomiting and central nervous system (CNS) depression, ototoxic drugs cause hearing loss and the risks must be considered prior to suggesting these types of medications.
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The nurse is writing a plan of care for a patient receiving an alpha-specific adrenergic agonist. What should this plan of care include?
A) Monitoring the patient for diarrhea B) Monitoring blood pressure and heart rate every 2 to 4 hours C) Assessing skin turgor for dehydration D) Assessing for fatigue and lethargy
The nurse is preparing to assess a client with tissue damage to the right arm who is also experiencing immunosuppression. After assessing the local reaction, the nurse assesses for a systemic reaction and should expect:
1. the respirations to be slowed. 2. the temperature to be significantly elevated. 3. the heart rate to be slower than normal. 4. a normal temperature.
The nurse is teaching skills used to improve communication among family members. Which statement made by the family member indicates that the teaching has been effective?
1. "I feel sad when you talk to me like that." 2. "You talk down to me and that makes me sad." 3. "We need to stop talking to each other like that." 4. "You always talk to me like that and it makes me sad."
A woman who is 36 weeks pregnant asks the nurse to explain the vibroacoustic stimulator (VAS) test. Which should the nurse include in the response? (Select all that apply.)
a. The test is invasive. b. The test uses sound to elicit fetal movements. c. The test may confirm nonreactive non–stress test results. d. The test can only be performed if contractions are present. e. Vibroacoustic stimulation can be repeated at 1-minute intervals up to three times.