The nurse is setting up an intravenous infusion pump to administer a dose of vancomycin [Vancocin] to a patient. What is the fastest rate at which the drug may be infused?
60 minutes
30 minutes
90 minutes
45 minutes
The Correct Answer is A
Vancomycin is often administered over at least 60 minutes to reduce the risk of infusion-related reactions, such as "Red Man Syndrome," which is characterized by flushing, rash, and itching. This reaction is caused by the rapid infusion of vancomycin, leading to the release of histamine.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Wear high-top shoes to avoid tendon rupture:
This statement is incorrect. Tendon rupture is a known side effect of fluoroquinolone antibiotics like ciprofloxacin, especially in certain populations. However, wearing high-top shoes does not prevent this. Patients should be educated about the signs of tendon pain, swelling, or inflammation and should be advised to stop the medication and contact their healthcare provider if they experience such symptoms.
B. Use a barrier method of birth control (condoms) during antibiotic use:
This statement is partially correct. Antibiotics like ciprofloxacin do not interfere with the efficacy of hormonal birth control methods like pills, patches, or injections. However, it's advisable to use a barrier method like condoms as an additional form of contraception while taking antibiotics. This is to prevent potential interactions and ensure maximum contraceptive effectiveness.
C. Do not use any bronchodilator inhalers while taking the drug:
This statement is incorrect. Ciprofloxacin does not interact negatively with bronchodilator inhalers. Patients can continue using their prescribed inhalers as directed by their healthcare provider, especially if they are being used for conditions like asthma or chronic obstructive pulmonary disease (COPD).
D. Stop the medication as soon as you feel better:
This statement is incorrect. It's crucial for patients to complete the entire course of antibiotics as prescribed, even if they start feeling better before the course is finished. Stopping antibiotics prematurely can lead to incomplete eradication of the infection, potentially allowing the bacteria to develop resistance and cause a recurrence of the illness.
Correct Answer is C
Explanation
A. Gentamicin: Gentamicin is an aminoglycoside antibiotic effective against many bacteria, but it's not the first choice for MRSA. Vancomycin or other alternatives are preferred due to the rising resistance of MRSA to gentamicin.
B. Nafcillin: Nafcillin is a penicillin antibiotic, often used for penicillin-sensitive staphylococcal infections. However, it is not effective against MRSA, which is resistant to many penicillin-based antibiotics.
C. Vancomycin: Vancomycin is a glycopeptide antibiotic used to treat a variety of bacterial infections, including MRSA. It works by inhibiting cell wall synthesis in bacteria, making it effective against Gram-positive bacteria that have developed resistance to other antibiotics like methicillin (which MRSA has).
D. Penicillin: Penicillin is a group of antibiotics that includes drugs like amoxicillin and ampicillin. MRSA is resistant to penicillin-based antibiotics, so they are not effective against MRSA infections.
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