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1. Question
The nurse caring for a client who is taking an aminoglycoside should monitor the client for which adverse effects of the medication? Select all that apply.
Correct
Answer: Option 2,3,4 are correct answer.
Rationale: Aminoglycosides are administered to inhibit the growth of bacteria. Adverse effects of this medication include confusion, ototoxicity, renal toxicity, gastrointestinal irritation, palpitations or dysrhythmias, blood pressure changes, and hypersensitivity reactions. Therefore, the remaining options are incorrect. Test-Taking Strategy: Focus on the subject, adverse effects of aminoglycosides. It is necessary to know the adverse effects associated with thismedication to answer correctly. Remember that ototoxicity, renal toxicity, and dysrhythmias are adverse effects.
Incorrect
Answer: Option 2,3,4 are correct answer.
Rationale: Aminoglycosides are administered to inhibit the growth of bacteria. Adverse effects of this medication include confusion, ototoxicity, renal toxicity, gastrointestinal irritation, palpitations or dysrhythmias, blood pressure changes, and hypersensitivity reactions. Therefore, the remaining options are incorrect. Test-Taking Strategy: Focus on the subject, adverse effects of aminoglycosides. It is necessary to know the adverse effects associated with thismedication to answer correctly. Remember that ototoxicity, renal toxicity, and dysrhythmias are adverse effects.
Aminoglycosides:
Aminoglycosides are bactericidal. They bind directly and irreversibly to 30S ribosomal subunits, inhibiting bacterial protein synthesis. They’re active against many aerobic gram-negative and some aerobic gram-positive organisms and can be used in combination with other antibiotics for short courses of therapy.
Adverse Reactions
Ototoxicity and nephrotoxicity are the most serious complications. Neuromuscular blockade also may occur. Oral forms most commonly cause diarrhea, nausea, and vomiting. Parenteral drugs may cause vein irritation, phlebitis, and sterile abscess.
