NCLEX-RN · Question #489
A female client has been hospitalized for several months following major abdominal surgery for a ruptured colon. A colostomy was created, and the large abdominal wound was left open and allowed to…
The correct answer is A. Instruct the client to report any signs of tinnitus, dizziness or difficulty hearing. (A) The first nursing measure is to instruct the client in which drug side effects to report. (B) Discontinuing the drug is not an independent nursing intervention and may compromise client (C) Audiometric testing will detect hearing loss, but it does not indicate a potential…
Question
A female client has been hospitalized for several months following major abdominal surgery for a ruptured colon. A colostomy was created, and the large abdominal wound was left open and allowed to heal through granulation. She is receiving gentamicin IV for treatment of wound infection. Knowing this drug is ototoxic, the nurse would implement which of the following measures?
Options
- AInstruct the client to report any signs of tinnitus, dizziness or difficulty hearing.
- BAdvise the client to discontinue the drug at the first sign of dizziness.
- COrder audiometric testing in order to determine if hearing loss is caused by an ototoxic drug or
- DInstruct the client in Valsalva's maneuver to equalize middle ear pressure and to prevent hearing
How the community answered
(48 responses)- A88% (42)
- B4% (2)
- C6% (3)
- D2% (1)
Explanation
(A) The first nursing measure is to instruct the client in which drug side effects to report. (B) Discontinuing the drug is not an independent nursing intervention and may compromise client (C) Audiometric testing will detect hearing loss, but it does not indicate a potential cause. (D) Equalizing middle ear pressure will not prevent hearing loss.
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