A female client must take streptomycin for tuberculosis.. Decreased hearing acuity

A female client must take streptomycin for tuberculosis. Before therapy begins, the nurse should instruct the client to notify the physician if which health concern occurs?

  • a. Impaired color discrimination
  • b. Increased urinary frequency
  • c. Decreased hearing acuity
  • d. Increased appetite

Answer C.

Decreased hearing acuity indicates ototoxicity, a serious adverse effect of streptomycin therapy. The client should notify the physician immediately if it occurs so that streptomycin can be discontinued and an alternative drug can be prescribed. The other options aren’t associated with streptomycin. Impaired color discrimination indicates color blindness; increased urinary frequency and increased appetite accompany diabetes mellitus.
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