2-month-old patient with current active infection. Being treated with neomycin. Complete the following sentence by using the list of options. The nurse understands that neomycin may cause serious adverse effects such as dropdown and dropdown

The nurse understands that neomycin may cause serious adverse effects such as ototoxicity and pseudomembranous colitis. i. Ototoxicity: Neomycin is part of the aminoglycoside class of antibiotics, which are known to cause ototoxicity, potentially leading to hearing loss, tinnitus, or balance issues. The risk is particularly high in young children or when administered at high doses over long periods. Rationale for other options: Constipation: This is not a known serious adverse effect of neomycin. Hypercalcemia: Elevated calcium levels (hypercalcemia) are not typically associated with neomycin use. Thrombocytopenia: While aminoglycosides can occasionally cause hematologic effects, thrombocytopenia (low platelet count) is not a common adverse effect of neomycin. ii. Pseudomembranous colitis: Neomycin, like other antibiotics, can disrupt the normal balance of gut flora, leading to an overgrowth of Clostridioides difficile, which can cause pseudomembranous colitis, a severe inflammatory condition of the colon. Rationale for other options: Hypotrichosis: This refers to reduced hair growth and is not related to neomycin. It can cause hypertrichosis instead. Photosensitivity: Neomycin is not known to cause photosensitivity reactions. Hyperpigmentation: Neomycin typically causes hypopigmentation.