Page 1641 - Saunders Comprehensive Review For NCLEX-RN

action that interferes with protein
synthesis in susceptible organisms
2. Contraindications and cautions
a. Contraindicated in clients with
hypersensitivity, myasthenia gravis,
parkinsonism, or eighth cranial nerve
damage
b. Used with caution in the older client, in
neonates because of renal insufficiency
and organ immaturity, and in young
infants because the medication may
cause CNS depression

c. The risk of toxicity increases

when taken with other
aminoglycosides or nephrotoxicity- or
ototoxicity-producing medications.
3. Side and adverse effects (Box 51-8)
4. Interventions
a. Assess for hypersensitivity.
b. Monitor liver and renal function test
results.

c. Monitor for ototoxic, neurotoxic,

and nephrotoxic reactions.
d. Perform baseline audiometric testing
and repeat every l to 2 months,
because the medication impairs the
eighth cranial nerve.

e. Monitor for visual changes.

f. Assess hydration status and maintain
adequate hydration during therapy.
g. Monitor intake and output.
h. Assess urinalysis results.
i. Monitor for signs of peripheral neuritis.
5. Client education: To notify the PHCP if hearing loss,
changes in vision, or urinary problems occur
XVI. Influenza Medications
A. Vaccines
1. Description
2. Because the strain of influenza virus is different every
year, annual vaccination is recommended (usually
sometime during September to April); each time a flu
vaccine is administered, the nurse should inform the
client of any updated information regarding the
vaccine.

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