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1. Question
Amikacin is prescribed for a clientwith a bacterial infection. The nurse instructs the client to contact the health care provider (HCP) immediately if which occurs?
Correct
Answer: Option 3 is the correct answer.
Rationale: Amikacin is an aminoglycoside. Adverse effects of aminoglycosides include ototoxicity (hearing problems), confusion, disorientation, gastrointestinal irritation, palpitations, blood pressure changes, nephrotoxicity, and hypersensitivity. The nurse instructs the client to report hearing loss to the HCP immediately. Lethargy and muscle aches are not associated with the use of this medication. It is not necessary to contact the HCP immediately if nausea occurs. If nausea persists or results in vomiting, the HCP should be notified. Test-Taking Strategy: Note the strategic word, immediately. Recalling that this medication is an aminoglycoside (most aminoglycoside medication names end in -cin) and that aminoglycosides are ototoxic will direct you to the correct option.
Incorrect
Answer: Option 3 is the correct answer.
Rationale: Amikacin is an aminoglycoside. Adverse effects of aminoglycosides include ototoxicity (hearing problems), confusion, disorientation, gastrointestinal irritation, palpitations, blood pressure changes, nephrotoxicity, and hypersensitivity. The nurse instructs the client to report hearing loss to the HCP immediately. Lethargy and muscle aches are not associated with the use of this medication. It is not necessary to contact the HCP immediately if nausea occurs. If nausea persists or results in vomiting, the HCP should be notified. Test-Taking Strategy: Note the strategic word, immediately. Recalling that this medication is an aminoglycoside (most aminoglycoside medication names end in -cin) and that aminoglycosides are ototoxic will direct you to the correct option.
About Amikacin:
INDICATIONS
Serious infections caused by sensitive strains of Pseudomonas aeruginosa, Escherichia coli, Proteus, Klebsiella, or Staphylococcus Uncomplicated UTI caused by organisms not susceptible to less toxic drugs.
ACTION
Inhibits protein synthesis by binding directly to the 30S ribosomal subunit; bactericidal.
ADVERSE REACTIONS
CNS: neuromuscular blockade
EENT: ototoxicity
GU: azotemia, nephrotoxicity, increase in urinary excretion of casts
