What adverse effect may manifest as dizziness, tinnitus, and ...

[fahad]

What adverse effect may manifest as dizziness, tinnitus, and progressive hearing loss?
 
  a. Ear infection
  b. Drug allergy
  c. Ototoxicity
  d. Idiosyncratic reaction

Question 2

The nurse is caring for a patient being treated with an antimicrobial agent for the diagnosis of a sexually transmitted infection. Which statement made by the patient shows a need for further education?
 
  a. I will use a barrier method when having sexual intercourse during therapy.
  b. I will increase fluid intake to 2000 to 3000 mL/day.
  c. I will increase protein in my diet.
  d. I will rest frequently.

[nekcihc358]

Answer to Question 1

ANS: C
Damage to the eighth cranial nerve (ototoxicity) can occur from drug therapy, particularly from aminoglycosides. This may initially be manifested by dizziness, tinnitus, and progressive hearing loss. Ear infection is not an adverse effect of drug therapy. Drug allergy is not manifested by hearing loss. Idiosyncratic reaction to a medication is an unusual, unpredictable response specific to a particular person. Unlike allergy, it can occur on first exposure to the medication; unlike an adverse effect, it only affects very few individuals, possibly with a genetic or metabolic abnormality.

Answer to Question 2

ANS: A
Patients should be instructed to refrain from sexual intercourse during therapy for sexually transmitted infections. Fluids should be increased to 2000 to 3000 mL/day, protein should be increased, and adequate rest should be encouraged.

[fahad]

TYSM

[ghepp]

Excellent