Question

the nurse is caring for a client who has an infection and diabetes mellitus.
exhibit 1 exhibit 2 exhibit 3
provider prescriptions
day 1:
gentamicin 80 mg iv every 8 hr
metformin 500 mg po twice daily
click to highlight the findings that indicate to the nurse that the client is experiencing adverse reactions to the prescribed antibiotic medication.
to deselect a finding, click on the finding again.
client stated that the light in the room was \making my eyes hurt.\
reported pain in achilles tendon after ambulating in hallway, bilaterally, rated at 7 on a 0 to 10 pain scale.
glucose 280 mg/dl (74 to 106 mg/dl)
wbc 13,000 mm³/l (5,000 to 10,000 mm³/l)
client stated, \i feel like the room is spinning.\
client reports headache, rated 6 on a 0 to 10 pain scale.
client reports hearing constant, high - pitched sound.

Explanation:

Gentamicin is an aminoglycoside antibiotic, and its common adverse effects include ototoxicity (affecting hearing and balance) and nephrotoxicity, along with tendon-related reactions. The findings linked to its adverse effects are:

1. Photophobia (eye pain from light) is a neurological/ocular effect tied to gentamicin's toxicity.
2. Bilateral Achilles tendon pain is a musculoskeletal adverse reaction to the antibiotic.
3. Vertigo (room spinning) is a vestibular (balance) effect of ototoxicity.
4. Headache can be a neurological adverse reaction.
5. High-pitched tinnitus (ringing) is an auditory effect of ototoxicity.

Elevated glucose is related to diabetes, and elevated WBC is related to the infection, not the antibiotic.

Answer:

• Client stated that the light in the room was "making my eyes hurt."
• Reported pain in Achilles tendon after ambulating in hallway, bilaterally, rated at 7 on a 0 to 10 pain scale.
• Client stated, "I feel like the room is spinning."
• Client reports headache, rated 6 on a 0 to 10 pain scale.
• Client reports hearing constant, high-pitched sound.