Exhibits

Select 4 findings that would indicate to the nurse that the administration of the vancomycin antibiotic would be safe to administer.

Dosage in safe range

Blood urea nitrogen 17 mg/dl. (6.07 mmol/L)

Potassium 4.4 mEq/L (4.4 mmol/L)

No known allergies

Peripheral IV in large vein

Used for prophylaxis

Answer and Explanation

Correct Answer : A,B,D,E

A.   Dosage in safe range: Ensures that the dosage of vancomycin falls within the acceptable range, minimizing the risk of toxicity.
B.   Blood urea nitrogen 17 mg/dl (6.07 mmol/L): Normal BUN levels indicate adequate renal function, which is important for the excretion of vancomycin.
C.   Potassium 4.4 mEq/L (4.4 mmol/L): While potassium levels are important for overall health, they are not directly related to the administration of vancomycin.
D.   No known allergies: Absence of allergies reduces the risk of adverse reactions to the medication.
E.   Peripheral IV in large vein: A peripheral IV in a large vein allows for the administration of vancomycin without complications such as phlebitis or infiltration.
F.   While vancomycin is being used for prophylaxis against endocarditis in this case, this alone does not indicate the safety of administering the antibiotic. Other factors such as renal function and absence of allergies are more directly related to the safety of vancomycin administration.

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Correct Answer is B

Explanation

A. These laboratory values will provide data to anticipate delays in growth and development.
While abnormal results from these tests could indicate potential developmental issues, the primary purpose of the screening is not to predict delays in growth and development but to identify metabolic deficiencies.

B. This is a routine blood test required by law to screen for metabolic deficiencies.
This is the correct answer. Neonatal screening, including tests for T4 and TSH, is a standard practice mandated by law in many regions to identify metabolic deficiencies such as congenital hypothyroidism early on, ensuring prompt treatment to prevent serious health issues.

C. Dosages for thyroid replacement therapy will be determined by this test.
This explanation might be applicable if a deficiency is detected, but it is not the primary reason for conducting the initial screening. The primary purpose is to identify whether there is a need for treatment.

D. This technique is used for early detection of intellectual disabilities.
Although untreated metabolic deficiencies like congenital hypothyroidism can lead to intellectual disabilities, the primary goal of the screening is to detect and treat these deficiencies before they can cause such problems.

A. Avoid stimulation of the breasts and wear a tight bra. B. Express a small amount of breast milk by hand. C. Place warm packs on both breasts. D. Take a prescribed analgesic and expose breasts to air.

Correct Answer is D

Explanation

A. Avoid stimulation of the breasts and wear a tight bra. Avoiding breast stimulation and wearing a tight bra may exacerbate breast engorgement by preventing milk expression and constricting blood flow. This recommendation is not appropriate for managing engorgement.
B. Express a small amount of breast milk by hand. While hand expression can help relieve engorgement, it may also stimulate further milk production, leading to increased engorgement. This recommendation may not be sufficient for managing severe engorgement.
C. Place warm packs on both breasts. Warm packs can increase blood flow and may provide temporary relief from discomfort, but they are not the most effective intervention for breast engorgement. Warmth can also increase inflammation and swelling in some cases.
D. Take a prescribed analgesic and expose breasts to air. Taking a prescribed analgesic can help relieve pain associated with breast engorgement, while exposing the breasts to air allows for
cooling and may reduce swelling. This recommendation addresses both pain relief and management of engorgement symptoms.

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Exhibits Select 4 findings that would indicate to the nurse that the administration of the vancomycin antibiotic would be safe to administer.

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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Exhibits

Select 4 findings that would indicate to the nurse that the administration of the vancomycin antibiotic would be safe to administer.