Author Question: A patient is taking gentamicin Garamycin and furosemide Lasix. The nurse should counsel this patient ... (Read 154 times)

jman1234 · **on:** Jul 23, 2018

A patient is taking gentamicin Garamycin and furosemide Lasix. The nurse should counsel this patient to report which symptom?

a. Frequent nocturia
b. Headaches
c. Ringing in the ears
d. Urinary retention

Question 2

A patient in her second trimester of pregnancy tells the nurse she is worried that a medication she took before knowing she was pregnant might have harmed the fetus. What will the nurse do?

a. Ask the patient what she took and when she learned she was pregnant.
b. Contact the patient's provider to request an ultrasound.
c. Counsel the patient to consider termina-tion of the pregnancy.
d. Suggest to the patient that she go to a high-risk pregnancy center.

joanwhite · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

C
Patients taking furosemide should be advised that the risk of furosemide-induced hearing loss can be increased when other ototoxic drugs, such as gentamicin, are also taken. Patients should be told to report tinnitus, dizziness, or hearing loss. Nocturia may be an expected effect of furo-semide. Headaches are not likely to occur with concomitant use of gentamicin and furosemide. Urinary retention is not an expected side effect.

Answer to Question 2

A
When a pregnant patient is exposed to a known or potential teratogen, the first step is to find out when the drug was taken and when the pregnancy began to determine whether the drug was tak-en during the period of organogenesis, when the fetus is most vulnerable to teratogenic effects. If exposure occurred during this phase, the provider may order an ultrasound. Counseling the pa-tient to terminate a pregnancy is not a nursing role. Until more is known about this patient's fetus, it is not necessary to refer her to another pregnancy center.