Mr. Thiessen is a 60-year-old man whose bacteremia is being treated with intravenous gentamicin.
After 4 days of treatment, the care team is pleased with the improvement in Mr. Thiessen's condition and the effect of the drug treatment on his blood cultures. During morning care, he has told the nurse that he is having ringing in his ears and woke up this morning with a pounding headache. How should the nurse respond to this patient's complaints?
A) Document the patient's complaints and integrate them into his plan of care.
B) Hold the next scheduled dose of gentamicin until the physician has been consulted.
C) Administer the next scheduled dose of gentamicin over 90 minutes to 2 hours.
D) Administer the gentamicin as ordered and continue to monitor the patient's symptoms closely.
Question 2
A female patient has been prescribed valproic acid (Depakote). The nurse will inform the patient that a common adverse effect of this drug is
A) hair loss.
B) hearing loss.
C) weight gain
D) irregular menses.
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