A nurse is preparing to administer vancomycin IV to an adult client. The client asks the nurse if the medication can be given 2 hr earlier. Which of the following statements should the nurse make?
“I can adjust the time and schedule for when it’s convenient for you.”.
“I can start the medication 30 minutes earlier.”.
“I have up to 2 hours after the usual schedule time to give you this medication.”.
“I can infuse the medication at a faster rate.”.
None
None
The Correct Answer is B
Choice A rationale: Adjusting medication times based solely on convenience violates the prescribed dosing interval, which is essential for maintaining therapeutic drug levels and preventing antibiotic resistance or toxicity.
Choice B rationale: Facility policies typically allow a "grace period" for non-time-critical medications, usually 30 to 60 minutes before or after the scheduled time, to ensure safe and timely administration.
Choice C rationale: Administering a medication 2 hours late significantly deviates from the prescribed schedule, potentially causing the drug's plasma concentration to fall below the minimum effective level required for treatment.
Choice D rationale: Increasing the infusion rate of vancomycin is dangerous and can cause "Red Man Syndrome," a hypersensitivity reaction characterized by flushing, rash, and hypotension due to rapid histamine release.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Beneficence is the ethical principle of doing good for the patient and promoting their well-being.
The nurse is demonstrating beneficence by sitting with the client to provide comfort and support during a difficult time.
Choice B is wrong because fidelity is the ethical principle of keeping promises to the patient and being loyal and faithful.
The nurse is not making or keeping any promises to the client in this scenario.
Choice C is wrong because autonomy is the ethical principle of respecting the patient’s right to make their own decisions and choices.
The nurse is not interfering with the client’s autonomy in this scenario.
Choice D is wrong because veracity is the ethical principle of telling the truth to the patient and being honest and trustworthy.
The nurse is not lying or withholding information from the client in this scenario.
Correct Answer is A
Explanation
The correct answer is choicea. Maternal hypoglycemia.
Choice A rationale:
Maternal hypoglycemia can lead to decreased glucose availability for the fetus, which can result in fetal bradycardia.The fetus relies on maternal glucose for energy, and a significant drop in maternal glucose levels can affect the fetal heart rate.
Choice B rationale:
Maternal fever is typically associated with fetal tachycardia rather than bradycardia.An elevated maternal temperature can increase the fetal heart rate as the fetus attempts to regulate its own temperature.
Choice C rationale:
Chorioamnionitis, an infection of the amniotic fluid and membranes, is also more commonly associated with fetal tachycardia due to the inflammatory response and fever.
Choice D rationale:
Fetal anemia can cause fetal tachycardia as the fetus compensates for the reduced oxygen-carrying capacity of the blood.Bradycardia is not a typical response to fetal anemia.
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