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 B
Explanation
B. corticosteroid has a counter regulatory hormone effect in glucose control
A. Hypoxia does not increase insulin need
C. Antibiotics do not increase blood glucose
D. Type 2 diabetes cannot convert to type 1
Correct Answer is A
Explanation
Antivenins are used to neutralize toxins from the bite
B, C – Not relevant
D- Only used when there are concerns of contamination which is not present in a spider bite
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