Question

A nurse is reviewing the medication administration record for a client who has a new prescription for tobramycin to treat a pulmonary infection. Which of the following medications should the nurse identify as increasing the risk for ototoxicity while taking tobramycin?

A) Furosemide
B) Propranolol
C) Gabapentin
D) Guifenesin

Answer 1

Furosemide is the medication that increases the risk for ototoxicity when taken with tobramycin, due to both being associated with ototoxic effects.

Step-by-step explanation:

The medication that a nurse should identify as increasing the risk for ototoxicity when taken with tobramycin to treat a pulmonary infection is Furosemide. Tobramycin is an aminoglycoside antibiotic, which can cause ototoxicity, particularly when used in combination with other ototoxic drugs. Furosemide, a loop diuretic, is known to increase the risk of ototoxicity, especially when used in high doses or when the patient has kidney impairment. The other medications listed, such as Propranolol (a beta-blocker), Gabapentin (an anticonvulsant/analgesic), and Guifenesin (an expectorant), do not share this increased risk for ototoxicity when used alongside aminoglycoside antibiotics.