A nurse is planning to administer vancomycin IV to a client. Which of the following actions should the nurse take to reduce the risk of an adverse reaction to the vancomycin?
Give the dose over 60 min.
Administer the medication undiluted.
Inject 19% lidocaine prior to each dose.
Obtain a trough level 30 min after the medication infusion.
The Correct Answer is A
A. Administering vancomycin over a longer infusion time, such as 60 minutes, can help reduce the risk of adverse reactions, such as red man syndrome or nephrotoxicity. Slower infusion rates allow for better tolerance of the medication.
B. Vancomycin should be diluted appropriately before administration to reduce the risk of infusion-related reactions.
C. Lidocaine is not typically used prior to vancomycin administration. The use of lidocaine would be more relevant for local anesthesia, not for systemic medication administration like vancomycin.
D. Trough levels are typically obtained just before the next dose of vancomycin is due, not immediately after the infusion.
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Related Questions
Correct Answer is D
Explanation
A. Although activity is encouraged, clients with acute heart failure may require rest to minimize cardiac demand.
B. Clients with acute heart failure typically need fluid restrictions, not boluses, which could exacerbate heart failure symptoms.
C. A low-sodium diet is usually recommended for heart failure clients to help manage fluid retention, not a high-sodium diet.
D. Enalapril is an ACE inhibitor often prescribed for clients with heart failure as it helps reduce blood pressure and decrease the workload on the heart.
Correct Answer is C
Explanation
A. While simvastatin can cause adverse effects such as myopathy and rhabdomyolysis, edema is not a common side effect associated with this medication.
B. Weight loss is not typically associated with simvastatin use and is not a common side effect that requires monitoring and reporting.
C. Muscle weakness is a potential adverse effect of simvastatin and should be monitored closely, as it may indicate myopathy or rhabdomyolysis, serious complications that require prompt medical attention.
D. Fever is not a common side effect of simvastatin and is not typically associated with its use.
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