# A client receiving gentamicin reports new ringing in the ears and dizziness. Which action should the nurse take?

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=394169&lang=en  
> language: en  
> subject: Adverse Effects/Contraindications/Interactions  
> category: PPT

## Question

A client receiving gentamicin reports new ringing in the ears and dizziness. Which action should the nurse take?

## Option

1. Tell the client this is an expected harmless effect.
2. Hold the medication and notify the provider. **✔ Correct answer**
3. Give the dose with milk to reduce irritation.
4. Encourage loud music to mask the ringing.

**Correct answer: 2**

## Explanation

Gentamicin is an aminoglycoside associated with ototoxicity and nephrotoxicity. New tinnitus or dizziness should be reported promptly, and the nurse should hold the medication pending provider direction according to policy. Continuing without evaluation can cause permanent injury.

## In-depth explanation

Clinical Judgment
Aminoglycoside ear symptoms are toxicity warnings.

Memory Tip
Gentamicin: ears and kidneys.

## Clinical scenario

Clinical Practice Guide
Aminoglycoside monitoring includes renal function, drug levels when ordered, hearing changes, balance symptoms, and infection response.

Caution
Do not dismiss tinnitus during aminoglycoside therapy.

## Key concepts

- **Gentamicin** — An aminoglycoside antibiotic used for selected serious infections.
- **Ototoxicity** — Medication-related injury to hearing or balance structures.
- **Tinnitus** — Ringing or buzzing sound in the ears.

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