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

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. Profuse milky white discharge: Bacterial vaginosis is characterized by a fishy odor and a thin, homogeneous, grayish-white discharge, not milky white. However, this option is the most closely associated with bacterial vaginosis among the choices provided.

B. Frequency and dysuria: These symptoms are more indicative of urinary tract infection rather than bacterial vaginosis.

C. Low-grade fever: Fever is not typically associated with bacterial vaginosis unless there is a secondary infection present.

D. Hematuria: Hematuria, or blood in the urine, is not a typical symptom of bacterial vaginosis.

A. 1 cm of water present in the water seal chamber B. Tidaling with spontaneous respirations C. Suction chamber pressure of -20 cm H20 D. Drainage collection chamber is one-third full

Correct Answer is D

Explanation

A. 1 cm of water present in the water seal chamber is within the expected range.

B. Tidaling with spontaneous respirations indicates the system is functioning properly.

C. Suction chamber pressure of -20 cm H2O is within the expected range for adequate suction.

D. The drainage collection chamber being one-third full suggests an accumulation of fluid beyond the expected level, which may indicate a potential complication such as hemorrhage or fluid buildup in the pleural space, requiring intervention by the nurse.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in an urgent care clinic is collecting admission history from a client who is at 16 weeks of gestation and has bacterial vaginosis. The nurse should recognize that which of the following clinical findings are associated with this infection?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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