Exhibits
The nurse collects blood from the client during peripheral IV line placement. What laboratory specimens would the nurse expect for the provider to order? Select all that apply.
Are you fully insured?
Is it possible that you are pregnant?
Do you take any medications?
What was your last meal?
What happened before you fell?
Do you live with anyone?
Correct Answer : A,B,D,F
A. Peripheral IV in large vein
Vancomycin should be administered through a large-bore IV to minimize the risk of complications such as phlebitis and to ensure effective drug delivery. This is a key factor in safely administering the medication.
B. Dosage in safe range
Confirming that the dosage is within the safe range ensures that the medication is administered at an effective but non-toxic level. Proper dosing is essential for achieving therapeutic effects without causing harm.
C. No known allergies
Ensuring that the client has no known allergies to vancomycin is critical to prevent allergic reactions. This step is necessary for the safe administration of the antibiotic.
D. Potassium 4.4 mEq/L (4.4 mmol/L)
While normal potassium levels are important for overall health, they do not specifically indicate the safety of vancomycin administration. Other factors such as IV access and dosage are more directly related to the safety of vancomycin.
E. Used for prophylaxis
Vancomycin is used for endocarditis prophylaxis in this case, which aligns with the clinical guidelines for preventing infections. Understanding the purpose of the medication supports its appropriate use in the client’s care.
F. Blood urea nitrogen 17 mg/dL (6.07 mmol/L)
An elevated BUN level might indicate renal impairment, which could affect vancomycin metabolism. However, this level alone does not directly address the immediate safety of administering the antibiotic compared to other factors like IV access and dosage.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Hypoglycemia is not a risk factor for metabolic syndrome; hyperglycemia is more relevant.
B. A large waist size (abdominal obesity) is a significant risk factor for metabolic syndrome, which includes a cluster of conditions such as increased blood pressure, high blood sugar, excess body fat around the waist, and abnormal cholesterol levels.
C. History of asthma is not directly related to metabolic syndrome.
D. Hypotension is not a risk factor for metabolic syndrome; hypertension is more relevant.
Correct Answer is D
Explanation
A. Klebsiella is typically treated with other antibiotics, such as cephalosporins or carbapenems.
B. Pseudomonas aeruginosa is usually treated with antipseudomonal penicillins or cephalosporins.
C. Candida is a fungal infection treated with antifungals like fluconazole.
D. Vancomycin is particularly effective against methicillin-resistant Staphylococcus aureus (MRSA), making it the preferred treatment for MRSA infections.
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