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. Vancomycin is not typically associated with hepatotoxicity.
B. Ototoxicity, which can manifest as hearing loss or tinnitus, is a potential adverse reaction of vancomycin therapy, especially with prolonged or high-dose therapy. Monitoring for signs of hearing impairment is essential.
C. Hypercalcemia is not a common adverse reaction associated with vancomycin therapy.
D. Hypertension is not a common adverse reaction associated with vancomycin therapy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Varicella-zoster requires airborne and contact precautions due to the highly contagious nature of chickenpox (varicella) and shingles (zoster).
B. Vancomycin-resistant enterococcus (VRE) typically requires contact precautions to prevent transmission.
C. Pertussis is spread via respiratory droplets, so droplet precautions are necessary to prevent transmission.
D. Rotavirus is transmitted via the fecal-oral route and typically requires contact precautions.
Correct Answer is D
Explanation
A. A head circumference 1 cm greater than the chest is within normal variations and does not typically require immediate notification.
B. A positive Babinski reflex is a normal finding in newborns and does not warrant immediate notification.
C. Passage of meconium stool within the first 24 hours of life is considered normal and does not require notification.
D. The pinna (ear) below the outer canthus of the eye can indicate a condition called low-set ears, which may be associated with genetic syndromes or other abnormalities. This finding warrants notification to the provider for further evaluation.
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