A nurse is caring for a client starting a course of gentamicin IV for a serious respiratory infection. Which of the following manifestations should the nurse monitor as an adverse effect of this medication? (Select All That Apply.).

A. Correct: Pruritus (itching) may indicate a hypersensitivity reaction. B. Correct: Paresthesia (numbness/tingling) is a sign of neurotoxicity, a known side effect of aminoglycosides like gentamicin. C. Incorrect: Drowsiness is not a common adverse effect of gentamicin. D. Incorrect: Reflex tachycardia is not typically associated with gentamicin.