This topic contains a solution. Click here to go to the answer

Author Question: The nurse is obtaining a client's drug history prior to initiating therapy with gentamicin ... (Read 136 times)

MGLQZ

  • Hero Member
  • *****
  • Posts: 579
The nurse is obtaining a client's drug history prior to initiating therapy with gentamicin (Garamycin). The client takes furosemide (Lasix). Based on this information, the nurse identifies the client is at increased risk for:
 
  1. nephrotoxicity.
  2. ototoxicity.
  3. pseudomembranous colitis.
  4. photosensitivity.

Question 2

A clinic nurse is teaching a group of teens taking tetracycline for acne. Which teaching points should take priority?
 
  Standard Text: Select all that apply.
  1. Take tetracycline on an empty stomach to increase absorption.
  2. Tetracycline may cause photosensitivity, making the skin susceptible to sunburn.
  3. Tetracycline may cause vaginal yeast infection in women who are using oral contraceptives.
  4. Tetracycline is one of the safest antibiotics to take during pregnancy.
  5. Tetracycline commonly causes diarrhea. The client should start a clear liquid diet and slowly resume a normal diet.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Carissamariew

  • Sr. Member
  • ****
  • Posts: 359
Answer to Question 1

Correct Answer: 2
Rationale 1: The risk for nephrotoxicity is increased if nephrotoxic drugs are prescribed concurrently.
Rationale 2: Concurrent use of more than one ototoxic drug increases the risk of hearing impairment.
Rationale 3: Pseudomembranous colitis is a serious adverse effect associated with tetracycline.
Rationale 4: Photosensitivity is associated with protein synthesis inhibitors, but not with calcium channel blockers or salicylates.
Global Rationale: Concurrent use of more than one ototoxic drug increases the risk of hearing impairment.
The risk for nephrotoxicity is increased if nephrotoxic drugs are prescribed concurrently. Pseudomembranous colitis is a serious adverse effect associated with tetracycline. Photosensitivity is associated with protein synthesis inhibitors, but is not potentiated by addition of furosemide.

Answer to Question 2

Correct Answer: 1,2,3
Rationale 1: Food, especially milk or diary products, decreases the absorption of tetracycline.
Rationale 2: Tetracycline does cause photosensitivity that makes the skin more susceptible to sunburn.
Rationale 3: Women on oral contraceptives and tetracycline have a higher incidence of vaginal yeast infections.
Rationale 4: Tetracycline is contraindicated in pregnancy because it can cause brown stains on the baby's teeth.
Rationale 5: Tetracycline-induced diarrhea is common, but the possibility of pseudomembranous colitis must be promptly ruled out.
Global Rationale: Adverse effects of tetracycline include photosensitivity and a higher incidence of vaginal yeast infections when taken concurrently with oral contraceptives. Food decreases absorption. Diarrhea is a common adverse effect, but should be assessed for the presence of pseudomembranous colitis. Tetracycline is contraindicated in pregnancy because it can cause brown stains on the baby's teeth.




Carissamariew

  • Sr. Member
  • ****
  • Posts: 359

 

Did you know?

The Babylonians wrote numbers in a system that used 60 as the base value rather than the number 10. They did not have a symbol for "zero."

Did you know?

The National Institutes of Health have supported research into acupuncture. This has shown that acupuncture significantly reduced pain associated with osteoarthritis of the knee, when used as a complement to conventional therapies.

Did you know?

There are more nerve cells in one human brain than there are stars in the Milky Way.

Did you know?

Signs of depression include feeling sad most of the time for 2 weeks or longer; loss of interest in things normally enjoyed; lack of energy; sleep and appetite disturbances; weight changes; feelings of hopelessness, helplessness, or worthlessness; an inability to make decisions; and thoughts of death and suicide.

Did you know?

The Food and Drug Administration has approved Risperdal, an adult antipsychotic drug, for the symptomatic treatment of irritability in children and adolescents with autism. The approval is the first for the use of a drug to treat behaviors associated with autism in children. These behaviors are included under the general heading of irritability and include aggression, deliberate self-injury, and temper tantrums.

For a complete list of videos, visit our video library