A client with an infection is being treated with vancomycin. The nurse providing care reviews the client's laboratory reports and notes that the client's blood urea nitrogen (BUN) and serum creatinine levels are newly elevated. What would be the appropriate nursing intervention?

Instruct the client to notify the nurse if they have any tingling in their toes.

Interpret the peak and trough levels.

Assess the client's urine output.

Consult the provider about the need for a less nephrotoxic medication.

Answer and Explanation

The Correct Answer is B

a) Tingling in the toes may be indicative of peripheral neuropathy but is not specifically related to elevated BUN and serum creatinine levels.

b) Elevated BUN and serum creatinine levels suggest potential renal impairment, and interpreting peak and trough levels of vancomycin is essential to assess the drug's impact on renal function.

c) Assessing urine output is important in evaluating renal function, but the specific action related to the elevated BUN and creatinine levels is to interpret vancomycin levels.

d) Consulting the provider about the need for a less nephrotoxic medication may be a consideration, but understanding the impact of vancomycin on renal function through peak and trough levels is a crucial initial step.

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Correct Answer is C

Explanation

A) Teaching the client to treat symptoms is not sufficient; proactive monitoring is essential.

B) Continuing the drug despite signs of toxicity is not safe and may worsen the client's condition.

C) Regular monitoring of organ function is crucial to detect early signs of toxicity and prevent serious complications.

D) Discontinuing the drug without signs of toxicity may not be necessary, and the decision should be based on ongoing assessment and consultation with the healthcare provider.

A. "Apply the medication over the entire body twice daily for two weeks." B. "Use the medication for at least one week after the symptoms have cleared." C. "Sun exposure will minimize the drug's effects." D. "This drug is effective after a single application."

Correct Answer is D

Explanation

a) Itraconazole is typically administered orally for fungal infections, not applied topically. This statement is incorrect.

b) Using the medication for at least one week after symptoms have cleared is not a standard instruction for itraconazole. Treatment duration is usually prescribed by the healthcare provider.

c) Sun exposure does not minimize the effects of itraconazole. This statement is inaccurate.

d) Itraconazole is not usually applied topically, but this option is the closest to the correct information. However, the more accurate statement would be that itraconazole is effective when taken systemically for fungal infections.

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A client with an infection is being treated with vancomycin. The nurse providing care reviews the client's laboratory reports and notes that the client's blood urea nitrogen (BUN) and serum creatinine levels are newly elevated. What would be the appropriate nursing intervention?

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Naxlex Comprehensive Predictor Exams

A client is taking a drug that has potential toxic side effects. What will the nurse do?

Correct Answer is C

Explanation

A client presents with tinea corporis, and the prescriber orders itraconazole. When educating the client about this medication, the nurse will include which statement?

Correct Answer is D

Explanation

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A client with an infection is being treated with vancomycin. The nurse providing care reviews the client's laboratory reports and notes that the client's blood urea nitrogen (BUN) and serum creatinine levels are newly elevated. What would be the appropriate nursing intervention?

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