A Patient with Cystic Fibrosis Uses Inhaled Tobramycin [TOBI] 300

question 9

Multiple Choice

A patient with cystic fibrosis uses inhaled tobramycin [TOBI] 300 mg every 12 hours in repeated cycles of 4 weeks on and 4 weeks off. The patient reports hoarseness and tinnitus. The nurse will tell the patient that:

• A) an intravenous form may be used to avoid hoarseness.
• B) hearing loss may occur with continued use of the drug.
• C) the provider will need to monitor renal function closely.
• D) these are common side effects of this medication.

---

Definitions:

Fiscal Stimulus

Government policy aimed at encouraging economic growth through increased public spending or tax reductions, aiming to raise aggregate demand.

Willing Lenders

Individuals or institutions that are prepared to provide loans or financing to others, expecting to earn interest or receive financial returns.

Earmarks

Narrow, specially designated spending authorizations placed in broad legislation by senators and representatives for the purpose of providing benefits to firms and organizations within their constituencies. Earmarked projects are exempt from competitive bidding and normal evaluation procedures.

Authorized Expenditures

Expenditures that are officially approved or sanctioned by an authoritative body or individual, often within an organizational or governmental context.