Roberta has had a MRSA infection in an abdominal surgical wound. Laura is a student nurse who works on the postsurgical unit of the hospital
Roberta is in a private room, is receiving vancomycin for the MRSA, and her pain is well controlled with a morphine patient-controlled analgesia pump. She is also receiving docusate sodium to prevent constipation. She begins com-plaining of ringing in the ears on Laura's shift. Which is the most likely cause of her tinnitus? A. Surgical anesthesia
B. Morphine
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 tin-nitus (ringing in the ears).
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When caring for a client, the primary focus of the interdisciplinary health care team (IHCT) is on the:
a. client and family c. health care provider(s) b. nursing staff d. physical and occupational therapist
__________ coping mechanisms are means of successfully solving a problem or reducing one's stress level
a. Defensive b. Maladaptive c. Constructive d. Individual
The patient is having severe diarrhea related to an HIV infection. What is an appropriate nursing intervention to help alleviate the diarrhea?
A) Administer an anticholinergic antispasmodic as ordered by the physician. B) Eat three balanced meals and a snack at bedtime. C) Decrease the patient's fluid intake. D) Encourage the patient to increase his or her activity.
Which statement by the client should alert the nurse to a need for further instruction regard-ing an increased risk for metabolic alkalosis?
A. "I don't drink milk because it gives me gas and diarrhea." B. "I have been taking digoxin every day for the last 15 years." C. "I take sodium bicarbonate after every meal to prevent heartburn." D. "In hot weather, I sweat so much that I have to drink at least six glasses of water each day."