NCLEX-RN

Category - Physiological

A nurse is carrying out orders for starting gentamicin on an elderly client with a respiratory tract infection. The complication that has to be monitored for specifically with gentamicin treatment is which of the following?
  1. Ototoxicity
  2. Renal toxicity
  3. Hepatotoxicity
  4. Eye toxicity
Explanation
Answer: A - Gentamicin is an ototoxic. The client should report ringing in the ears or diminished hearing. Ototoxicity is managed by immediately discontinuing the drug. Renal and hepatic toxicity are not related to gentamicin use.
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