Author Question: A health care provider is administering parenteral gentamicin (Garamycin) to a home care patient. ... (Read 117 times)

meagbuch · **on:** Jul 23, 2018

A health care provider is administering parenteral gentamicin (Garamycin) to a home care patient. The patient's report of which of the following symptoms would indicate an understanding of possible adverse effects of the drug?

a. Diarrhea
b. Thirst
c. Sedation
d. Hearing loss

Question 2

A patient requires treatment with doxycycline (Vibramycin). What instructions should the health care provider give to the patient who is taking the drug and is planning an outdoor trip?

a. Limit fluid intake.
b. Bring along several high-carbohydrate snacks.
c. Keep skin covered and use sunscreen.
d. Bring cold, carbonated beverages in a thermos.

yifu223 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: D
Ototoxicity is a serious adverse effect of drug therapy with aminoglycosides such as gentamicin. The patient should report hearing loss, tinnitus, nausea, unsteadiness, dizziness, or vertigo. Other serious adverse effects include neurotoxicity and nephrotoxicity.

Answer to Question 2

ANS: C
Tetracyclines such as doxycycline can cause photosensitivity reactions, characterized by exagger-ated sunburn and paresthesias. To avoid this, the patient should use sunscreen, wear protective clothing, and limit exposure whenever possible.