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

Answer and Explanation

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

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Correct Answer is D

Explanation

Disulfiram blocks the metabolism of alcohol leading to unpleasant effects such as flushing, apprehension, headache, nausea and vomiting
A. Alcohol containing substances will cause the unpleasant effect when consumed
B. Disulfiram prevent metabolism of alcohol and hence has no similar effects to alcohol
C. When taken with warfarin, it increases the risk of bleeding

A. use artificial saliva, sugarless gum, or hard candy to counteract dry mouth. B. Minimize the amount of fluid taken while on this drug. C. Discontinue the medication if adverse effects occur. D. Take the medication on an empty stomach to enhance absorption.

Correct Answer is A

Explanation

A. anticholinergics cause dry mouth due to reduced secretion in the salivary glands and artificial saliva is important
B. Fluid intake is encouraged especially due to dry mouth
C. Discontinuing medication without consulting the provider is inappropriate
D. Taking medication on an empty stomach isn’t related to absorption

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The nurse is administering intravenous vancomycin to a client who has had gastrointestinal surgery. Which nursing measures are appropriate? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is being treated for ethanol alcohol abuse in a rehabilitation center. The nurse will include which information when teaching him about disulfiram therapy?

Correct Answer is D

Explanation

When a client is taking an anticholinergic such as benztropine as part of the treatment for Parkinson's disease, the nurse should include which information in the teaching plan?

Correct Answer is A

Explanation

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