Author Question: An older adult has been prescribed an aminoglycoside antibiotic. The nurse would immediately contact ... (Read 101 times)

cdr_15

  • Hero Member
  • *****
  • Posts: 546
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

Question 2

A pregnant client has been prescribed azithromycin (Zithromax) for an upper respiratory infection. The client asks the nurse why this medication was prescribed instead of erythromycin. The nurse explains that azithromycin:
 
  Standard Text: Select all that apply.
  1. causes less nausea.
  2. may be taken with or without food.
  3. is safe to take during pregnancy.
  4. does not cause diarrhea or abdominal pain.
  5. is not associated with hypersensitivity.



IAPPLET

  • Sr. Member
  • ****
  • Posts: 333
Answer to Question 1

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.

Answer to Question 2

Correct Answer: 1,2,3
Rationale 1: Azithromycin causes less nausea.
Rationale 2: Azithromycin may be taken with or without food.
Rationale 3: Azithromycin is a category B drug and is safe for pregnant clients.
Rationale 4: Diarrhea and abdominal pain are the most common adverse effects of azithromycin.
Rationale 5: There are clients who are hypersensitive to macrolides and should not receive azithromycin.
Global Rationale: Azithromycin causes less nausea, can be taken without regard to food ingestion, and is safe for pregnant clients. Diarrhea and abdominal pain are side effects. There are clients who are hypersensitive to macrolides and should not receive azithromycin.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
 

Did you know?

GI conditions that will keep you out of the U.S. armed services include ulcers, varices, fistulas, esophagitis, gastritis, congenital abnormalities, inflammatory bowel disease, enteritis, colitis, proctitis, duodenal diverticula, malabsorption syndromes, hepatitis, cirrhosis, cysts, abscesses, pancreatitis, polyps, certain hemorrhoids, splenomegaly, hernias, recent abdominal surgery, GI bypass or stomach stapling, and artificial GI openings.

Did you know?

Vaccines prevent between 2.5 and 4 million deaths every year.

Did you know?

The Centers for Disease Control and Prevention has released reports detailing the deaths of infants (younger than 1 year of age) who died after being given cold and cough medications. This underscores the importance of educating parents that children younger than 2 years of age should never be given over-the-counter cold and cough medications without consulting their physicians.

Did you know?

There can actually be a 25-hour time difference between certain locations in the world. The International Date Line passes between the islands of Samoa and American Samoa. It is not a straight line, but "zig-zags" around various island chains. Therefore, Samoa and nearby islands have one date, while American Samoa and nearby islands are one day behind. Daylight saving time is used in some islands, but not in others—further shifting the hours out of sync with natural time.

Did you know?

Women are two-thirds more likely than men to develop irritable bowel syndrome. This may be attributable to hormonal changes related to their menstrual cycles.

For a complete list of videos, visit our video library