The nurse is administering intravenous vancomycin to a client who has had gastrointestinal surgery. Which nursing measures are appropriate? (Select all that apply.)
Restricting fluids while the client is on this medication
Administer the drug over at least 60 minutes
Reporting a trough drug level of24 mcg/mL and holding the drug
Monitoring serum creatinine levels
Instructing the client to report dizziness or a feeling of fullness in the ears
Correct Answer : B,C,D,E
A. vancomycin can be nephrotoxic and fluid restriction is inappropriate
B. Slow infusion of vancomycin is key to avoid flush reactions
C. Normal trough levels for vancomycin are 10-20mcg/ml- 24mcg/ml increases risk of toxicity
D. Monitoring serum creatinine monitors for renal damage
E. Vancomycin can cause hearing loss and clients should be advised any early signs of ototoxicity such as ear fullness
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D"]
Explanation
A. Atropine sulfate reduce the production of bronchial secretions leading to easy intubation. This reduction in airway secretion ensures smooth intubation
D. Atropine is an anticholinergic that binds on to the muscarinic receptors on the heart to produce block the parasympathetic impulses. This mechanism is used to manage bradycardia
B. Tachycardia is managed through vagal maneuvers if stable and cardioversion or antiarrhythmics
C. Myasthenia gravis is managed using acetylcholinesterase inhibitors
E. Cholinergic agonists are used in narrow angle glaucoma
Correct Answer is D
Explanation
D. smoking increases acid production counteracting the effects of cimetidine
A. Cimetidine should be taken with meals
B. Other medications including antacids can be taken 2hrs after cimetidine
C. Water has no effect on effectiveness of cimetidine
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