A client hospitalized for a wound infection has a blood urea ...

[bobthebuilder]

A client hospitalized for a wound infection has a blood urea nitrogen of 45 mg/dL and creatinine of 4.2 mg/dL. What action by the nurse is best?
 
  a. Assess the ordered antibiotics for ototoxicity.
  b. Explain how kidney damage causes hearing loss.
  c. Use ibuprofen (Motrin) for pain control.
  d. Teach that hearing loss is temporary.

Question 2

A nurse is irrigating a client's ear when the client becomes nauseated. What action by the nurse is most appropriate for client comfort?
 
  a. Have the client tilt the head back.
  b. Re-position the client on the other side.
  c. Slow the rate of the irrigation.
  d. Stop the irrigation immediately.

[Anonymous]

Answer to Question 1

ANS: A
Some medications are known to be ototoxic. Diminished kidney function slows the excretion of drugs from the body, worsening the ototoxic effects. The nurse should assess the antibiotics the client is receiving for ototoxicity. The other options are not warranted.

Answer to Question 2

ANS: D
During ear irrigation, if the client becomes nauseated, stop the procedure. The other options are not helpful.

[bobthebuilder]

Thanks for the timely response, appreciate it

[dantucker]

TYSM