The nurse is caring for a client who is receiving vancomycin. The nurse notes the client is experiencing flushing, rash, pruritus, and urticaria. The client's heart rate is 120 beats/min, and blood pressure is 92/57 mm Hg. What complication is the client experiencing?
Rhabdomyolysis
Red man syndrome
Side effects
Stevens-Johnson syndrome
The Correct Answer is B
A) Rhabdomyolysis is a serious condition characterized by the breakdown of skeletal muscle tissue and is not associated with the symptoms described.
B) Red man syndrome is an infusion reaction associated with the rapid infusion of vancomycin. Symptoms include flushing, rash, pruritus, urticaria, tachycardia, and hypotension.
C) Side effects are general and can include a range of symptoms. Red man syndrome is a specific reaction associated with vancomycin.
D) Stevens-Johnson syndrome is a severe skin reaction that involves blistering and peeling of the skin. It is not associated with the rapid infusion of vancomycin.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
a) Avoiding alcohol and herbal remedies is a correct instruction because they can interact with warfarin and increase the risk of bleeding.
b) Stopping warfarin abruptly without healthcare provider guidance can be dangerous and increase the risk of thrombosis. Signs of bleeding should be reported promptly to the healthcare provider for appropriate management.
c) Being consistent with the intake of leafy greens is important to maintain a stable INR, as these foods contain vitamin K, which can interfere with warfarin.
d) Regular INR monitoring is essential to ensure that the client is within the therapeutic range and to make adjustments to the warfarin dosage if necessary.
Correct Answer is B
Explanation
a) This statement inaccurately describes the concept of half-life. Half-life refers to the time it takes for the drug concentration in the body to decrease by half, not the time it takes for the drug to reach receptors.
c) This statement inaccurately describes the concept of half-life. Half-life is not related to the distribution of the drug in the body.
d) This statement inaccurately describes the concept of half-life. Half-life is not related to the shelf-life of the drug.
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