NURSING 69 capstone 3 classwork latest 2022/202

1.List three (3) adverse effects of gentamicin. -Hypersensitivity (rash, pruritus, urticaria, paresthesia of hands and feet) -Ototoxicity (tinnitus, headache from vestibular damage, hearing loss, nausea, dizziness, and vertigo) -Nephrotoxicity (proteinuria, casts in the urine, dilute urine, elevated BUN, elevated creatinine) 2.Identify three (3) adverse effects for the antibiotic imipenem/cystatin. -Allergy, hypersensitivity, possible cross sensitivity to penicillin or cephalosporins (dyspnea, rash, pruritus) -Gastrointestinal upset (nausea, vomiting, diarrhea) -Superinfection (diarrhea, oral thrush, vaginal yeast infection) 3.A client is prescribed digoxin in the management of heart failure. List three (3) clinical manifestations of digoxin toxicity? - Irregular pulse - Nausea, vomiting, diarrhea -Bradycardia 4. How should a nurse administer glucagon? As an injection 5. What should a nurse reinforce in education when the client is prescribed aldosterone?  This med is used only for females who have severe IBS-D and have been approved.  Instruct pts to watch for rectal bleeding, bloody diarrhea or any abdominal pain. If this occurs report to Dr and stop usage. 6. A client is prescribed spironolactone. What is the therapeutic effect of this medication? Name two (2) potential adverse effects the nurse should monitor for? Answer: Spironolactone is a potassium-sparing diuretic that blocks the action of aldosterone which allows for the potassium to be retained instead of being secreted when the client voids thus the client only voids sodium and water. 2 adverse effects of spironolactone are the risk of hyperkalemia due to the client retaining the potassium instead of expelling it. Im