Exhibits

The nurse is preparing the client's plan of care.

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

Peripheral IV in large vein

No known allergies

Used for prophylaxis

Blood urea nitrogen 17 mg/dL (6.07 mmol/L)

Potassium 4.4 mEq/L (4.4 mmol/L)

Answer and Explanation

Correct Answer : A,B,C,E

A. Dosage in safe range: Ensuring that the dosage is within a safe range is crucial for preventing potential toxicity or adverse reactions.
B. Peripheral IV in large vein: Administering vancomycin through a peripheral IV in a large vein reduces the risk of phlebitis and ensures proper medication delivery.
C. No known allergies: Confirming that the client has no known allergies, especially to vancomycin or related antibiotics, is essential to avoid an allergic reaction.
D. Used for prophylaxis: While using vancomycin for prophylaxis is appropriate, this does not directly relate to safety in administration, which is more concerned with avoiding adverse reactions.
E. Blood urea nitrogen 17 mg/dL (6.07 mmol/L): A normal BUN level suggests that the kidneys are functioning properly, which is important because vancomycin is renally excreted, and impaired renal function could increase the risk of toxicity.
F. Potassium 4.4 mEq/L (4.4 mmol/L): Although within the normal range, this value does not directly impact the safety of vancomycin administration, unlike factors such as renal function or potential allergic reactions.

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Correct Answer is C

Explanation

A. Hard candy is a recommended way to manage dry mouth, a common side effect of many medications, including herbal supplements like St. John's wort.
B. Insomnia is a potential side effect of St. John's wort, so this information is correct.
C. St. John's wort can interact with oral contraceptives, reducing their effectiveness. Therefore, it is essential to use an additional form of contraception.
D. St. John's wort can increase sensitivity to sunlight, making sun protection important for clients.

A. Hypercholesterolemia. B. Bronchitis. C. Diabetes mellitus. D. Hypertension.

Correct Answer is D

Explanation

A. Hypercholesterolemia is not a primary concern when prescribing methylphenidate.
B. Bronchitis does not significantly affect the use of methylphenidate.
C. Diabetes mellitus requires careful monitoring but is not the primary condition to assess before starting methylphenidate.
D. Methylphenidate is a stimulant and can exacerbate hypertension, so it is crucial to review the client's blood pressure and overall cardiovascular health before administration.

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Exhibits The nurse is preparing the client's plan of care. Select 4 findings that would indicate to the nurse that the administration of the vancomycin antibiotic would be safe to administer.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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Exhibits

The nurse is preparing the client's plan of care.

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