The nurse is instructing a patient about use of vaginal weight ...

[tuffie]

The nurse is instructing a patient about use of vaginal weight training. Which technique indicates that the patient accurately understands the nurse's teaching?
 
  a. The patient inserts the largest cone and leaves it in place for 4-hour increments.
  b. The patient inserts the smallest cone and performs 10 Kegel exercises before re-moving it.
  c. The patient inserts the smallest cone and holds it in place with muscle tightening for 15 minutes before removing it.
  d. The patient inserts the largest cone and attempts to expel it with vaginal muscle tightening.

Question 2

Which medication(s) may cause ototoxicity? (Select all that apply.)
 
  a. Vancomycin
  b. Furosemide
  c. Acetaminophen
  d. Ibuprofen
  e. Amoxicillin

[Meganchabluk]

Answer to Question 1

C
Vaginal weight training is done with a set of five small, cone-shaped weights that are used along with pelvic muscle exercise as a therapeutic option for incontinence. The lightest cone, which has a string attached, is inserted into the vagina and held in place by muscle tightening for 15 minutes twice a day. When there is no problem holding this cone in place, the next heaviest cone is used. This continues until the heaviest cone can be held in place for the 15-minute period.

Answer to Question 2

A, B, D
Commonly administered drugs that can be ototoxic are many of the antibiotics, nonsteroidal an-ti-inflammatory drugs, chemotherapy agents, and potent diuretics, such as furosemide (Lasix) (Box 25-3). Acetaminophen and amoxicillin are not ototoxic.