A nurse is preparing to administer vancomycin to a client who has an infected wound. The nurse should plan to monitor for which of the following adverse reactions?
Hepatotoxicity
Ototoxicity
Hypercalcemia
Hypertension
The Correct Answer is B
A. Hepatotoxicity: Vancomycin is not commonly associated with liver toxicity. While liver function may be monitored in clients receiving multiple medications, hepatotoxicity is not a primary concern with vancomycin therapy.
B. Ototoxicity: Vancomycin can cause ototoxicity, particularly with high doses or prolonged therapy. This adverse effect may present as tinnitus or hearing loss, making it important for the nurse to monitor the client’s auditory function during treatment.
C. Hypercalcemia: Vancomycin does not affect calcium metabolism, so hypercalcemia is not an expected adverse reaction. Monitoring calcium levels is not routinely necessary for vancomycin administration.
D. Hypertension: Hypertension is not a known adverse effect of vancomycin. Blood pressure monitoring is standard for overall care, but vancomycin itself does not typically cause elevations in blood pressure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Transmission of Escherichia coli from undercooked ground beef: This is an example of foodborne transmission, where pathogens are ingested through contaminated food. It does not involve a vector such as an insect or animal.
B. Transmission of giardia from contaminated water: This represents waterborne transmission, occurring when pathogens are ingested through contaminated drinking or recreational water, not via a vector.
C. Transmission of West Nile virus from a mosquito bite: West Nile virus is transmitted through the bite of an infected mosquito, which acts as a vector. This is a classic example of vector-borne transmission, where an organism carries and spreads a pathogen between hosts.
D. Transmission of hepatitis A from a food handler who has the virus: This is an example of direct contact or foodborne transmission, occurring when an infected individual contaminates food. It does not involve a vector to transmit the infection.
Correct Answer is C
Explanation
A. "Try to suppress your grief when your child is present.": Encouraging parents to hide their emotions can prevent healthy grieving and modeling of coping behaviors for children. Open expression of grief, when appropriate, helps children understand and process their own emotions.
B. "Avoid discussing the funeral when your child is around.": Avoiding discussion of the funeral can leave children confused and anxious. Including children in age-appropriate conversations about death and funeral rituals helps them feel involved and supported during the grieving process.
C. "Tell me how children in your family participate in funeral services.": Asking about children’s participation in funeral services allows the nurse to assess their understanding and involvement in rituals. It promotes family-centered grieving and provides an opportunity to support healthy coping strategies, making it the most appropriate counseling approach.
D. "School-age children tend to view death as a temporary form of sleep.": While younger children (typically preschoolers) may see death as temporary or reversible, school-age children usually begin to understand that death is permanent. Using this statement could misinform parents about their child’s developmental comprehension of death.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.