A nurse is assessing a client after administering iv vancomycin. client report of tinnitus d. " C. The nurse should include in the teaching that vancomycin indicated for which of the following infections? a. the severity of cutaneous warmth and flushing D. Which measure A nurse is assessing a client after administering IV vancomycin. Check for the presence of blood return. Which order will the nurse implement first? 1. Client report of tinnitus d. B. Replace the empty IV opioid . This medicine is given through a needle placed in one of your veins. Check the patency of the IV. A headache is a common and mild side effect of vancomycin, which is an antibiotic used to treat serious infections. Which action performed by the student nurse indicates effective learning? a. Give a 10 mL/kg bolus of fluid. , A patient who is receiving vancomycin [Vancocin] IV for a methicillin-resistant Study with Quizlet and memorize flashcards containing terms like Which client situation requires the most immediate intervention by the charge nurse? a) New onset ST segment elevation is observed on the telemetry monitor of a client admitted with angina. Client report of tinnitus D. Symptoms may include weakness, angioedema, and chest or back pain. D) Check the patency of the IV. What precautionary step is most important for The nurse prepares to administer IV vancomycin to an 80-year-old client with a methicillin-resistant Staphylococcus aureus infection. Audible inspiratory stridor Study with Quizlet and memorize flashcards containing terms like A client is ordered to receive vancomycin IV. Which of the following findings is the nurses priority to report to the provider? A. One, some, or all responses may be correct. !!! Answer and Explanation. Weight, vital signs, site of infection; Laboratory test results: CBC, renal function tests, wound culture and sensitivity tests; confirm a negative pregnancy test as appropriate; Check dose by calculating mg/kg Jun 26, 2024 · A nurse is assessing a client after administering IV vancomycin. Collect the health history and note any allergy to vancomycin. Vancomycinnursing assessment. Which of the following responses should the nurse make? (SATA) *The medication will increase the amount of mucus *The medication will prevent wheezing *The medication will open the airways *The medication will reduce inflammation *The medication will decrease coughing episodes. Audible inspiratory stridor A nurse is assessing a client who is receiving a peripheral IV infusion and notes infiltration of fluid into the tissues surrounding the insertion site. When administering the drug, the nurse would infuse the drug over which time frame?, A nurse is caring for a patient who has a serious infection. monitoring glucose levels Study with Quizlet and memorize flashcards containing terms like Which intervention is the single most important aspect for the client at risk for anaphylaxis?, A patient asks the nurse if it would be all right to take an over-the-counter antihistamine for the treatment of a rash. Which of the following should the nurse include to demonstrate this method?, A nurse is preparing to administer acetaminophen 320 mg oral solution to a school-age child. dyspnea, bronchospasm, and/or laryngeal edema Study with Quizlet and memorize flashcards containing terms like The nurse is preparing to administer the fourth dose of vancomycin IVPB to a client with infective endocarditis. The patient is being treated with combination therapy of a cefazolin and an aminoglycoside. In the evening, the nurse collects a blood sample from the patient and observes that the serum drug concentration is greater than 2 mcg/mL. Fever b. The nurse has administered the morning dose of tobramycin to a patient according to the prescription. candida d. c. Dec 28, 2023 · Vancomycin nursing implications are divided into nursing assessment, interventions, and evaluation. Study with Quizlet and memorize flashcards containing terms like The nurse prepares to administer intravenous albumin to a client with severe liver disease who has a low serum albumin level of 1. Aug 2, 2024 · Vancomycin is a glycopeptide antibiotic administered intravenously for treatment of patients with suspected or proven invasive gram-positive infections, including methicillin-resistant Staphylococcus aureus (MRSA). Which of the following statements by the Study with Quizlet and memorize flashcards containing terms like Which assessment would the nurse perform before administering a dose of vancomycin to a client? Select all that apply. Which sequence would the nurse now perform? Close the roller clamp, turn off the pump, remove the volume control device, recap it, and recheck the flow rate of the primary infusion. "Choice A rationale: This is an inappropriate response, as the nurse should not adjust the time and schedule for the administration of alteplase recombinant, which is a time-sensitive medication used to treat a thrombus in the coronary artery. So with vancomycin, sometimes we can see side effects, including auto toxicity, nausea, vomiting, and probably it's best known for the side effect of the red man syndrome or the sudden redness after initiating the medication, a few nursing considerations for vancomycin. What will the nurse initially assess the client for if an allergic reaction occurs?, A nurse is preparing a client for allergy skin testing. Ciprofloxacin C. Which of the following findings is the nurse's priority to report to the provider? A. Which of the following findings is the nurses priority to report to the provider? localized redness of the catheter insertion site Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who is receiving an infusion of vancomycin IV. The nurse should notify the health care provider about which serum laboratory results before administering the drug? Select all that apply. Before initiating peritoneal dialysis, the nurse should assess the client, paying close attention to the client's respiratory status, and obtain the client's vital signs and weight. Which measure The nurse returns to a client's room after the infusion of IV pain medication via a volume control administration set has been completed. A nurse or other trained health professional will give you this medicine in a hospital. d. Client report of a headache C. hold the drug and notify the provider C. Assess blood pressure periodically and compare to normal values (See A nurse is administering IV acyclovir to a client. Loss of body hair 4. Administer diphenhydramine [Benadryl]. Sep 1, 2024 · Proper Use. b) A client with hyponatremia is becoming increasingly confused, disoriented, and agitated. localized redness at the catheter insertion site b. Which of the following actions should the nurse take? A. Localized redness at the catheter insertion site b. remove the IV site Study with Quizlet and memorize flashcards containing terms like 1. Assess for the interaction with any other antibiotics or medicines the client is taking. What is the nurse’s next best response? Note: Answers to the Critical Thinking activities can be found in the “Answer Key” section at the end of the book. It is in the cell wall synthesis inhibitor class of antimicrobial medications. Document that the client experienced an anaphylactic reaction to the medication. VFS is caused by vancomycin through the direct and Study with Quizlet and memorize flashcards containing terms like The registered nurse teaches a student nurse regarding the management of increased potassium levels in a client. C) Change the IV tubing. The nurse recognizes that the aspirin is given due to which of the following actions of the medication?, A nurse is caring for a client who is prescribed tetracycline 2 grams daily PO in four divided doses every 6 hr. What will the nurse initially assess the client for if an allergic reaction occurs? A) the presence and location of pruritus B) hypotension and tachycardia C) dyspnea, bronchospasm, and/or laryngeal edema D) the severity of cutaneous warmth and flushing A nurse is assessing a client after administering IV vancomycin. VFS consists of a pruritic, erythematous rash to the face, neck, and upper torso, which may also involve the extremities to a lesser degree. Creatinine Trough level Hearing ability Intravenous site Blood urea nitrogen, Which action will the nurse take after stopping the antibiotic infusion of a client who Study with Quizlet and memorize flashcards containing terms like The nurse is assessing a client's peripheral IV site after completion of a vancomycin infusion and notes the area is reddened, warm, painful, and slightly edematous proximal to the insertion point of the IV catheter. White blood cell count of 8000 cells/mm3 c. Decrease the infusion rate on the IV. , A nurse is assessing a client after administering IV vancomycin. Start ampicillin 125 mg IV now. the presence and location of pruritus C. klebsiella c. Which of the following findings is the nurse's priority to report to the provider? A nurse is assessing a client who is receiving IV vancomycin. Which information should the nurse include in this teaching? Select all that apply. After a weigh-in, the client learns of gaining 2 lb and says to the Monitor signs of hypersensitivity reactions and anaphylaxis, including pulmonary symptoms (tightness in the throat and chest, wheezing, cough dyspnea) or skin reactions (rash, pruritus, urticaria). Which condition should the nurse suspect? Red man syndrome Probable convulsion Early vestibular damage Ineffective antibiotic therapy, A nurse is caring for a patient who has hepatic encephalopathy who is prescribed neomycin. 45. methicillin-resistant staphylococcus aureus, A nurse collecting data Study with Quizlet and memorize flashcards containing terms like The nurse plans to teach the client with acquired immune deficiency syndrome (AIDS) about bacterial infections. Client report of tinnitus. Audible inspiratory stridor. Pitting edema Hyponatremia is a condition where the sodium level in the blood is too low, which can cause confusion, lethargy, seizures, and coma. A nurse is collecting data on a client Study with Quizlet and memorize flashcards containing terms like A patient develops flushing, rash, and pruritus during an IV infusion of vancomycin (Vancocin). Which action should the nurse NHS Grampian Staff Guidance for the Administration of Intravenous Vancomycin in Adults via Intermittent (pulsed) Infusion . Study with Quizlet and memorize flashcards containing terms like Which client receiving antibiotic therapy would the nurse identify as being at risk for Achilles tendon rupture? A. pseudomonas aeruginosa b. Administer IV bumetanide to a client with heart failure who has bilateral crackles and dyspnea 2. This activity will highlight the mechanism of action, adverse And in the oral form, we use vancomycin for the treatment of C diff. 2. " B. The Correct Answer is B. Which of the following actions should the nurse take?, A nurse is providing teaching to a client who has oral candidiasis and a new prescription for nystatin suspension. At this time, which action by the nurse is best? 1. Drug information provided by: Merative, Micromedex ®. "I can start the medication 30 minutes earlier. "Pathogens Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who has been receiving IV gentamycin. A nurse is assessing a client after administering IV vancomycin. this drug is given daily and the next dose is to be administered now. Localized redness at the catheter insertion site Rationale: The nurse should report redness at the catheter insertion site to reduce the risk for thrombophlebitis or infection which can lead to tissue damage; however, another finding is the Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who is receiving IV vancomycin. A nurse is assessing a client who is receiving IV vancomycin. Which of the following actions should the nurse take? Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a newborn who has developed sepsis. The nurse realizes that the dose was ordered for 1 PM and it is now 1:45 PM. Study with Quizlet and memorize flashcards containing terms like 1. A hypertonic solution is a fluid that has a higher concentration of solutes than the blood, which can help raise the sodium level and reduce the brain swelling caused by hyponatremia. Study with Quizlet and memorize flashcards containing terms like After morning report, the nurse must perform which action first when caring for assigned clients? 1. Tobramycin, Which prescribed medication would the nurse anticipate initiating for a client with Clostridium difficile -associated disease?, Which client statement about A nurse is caring for a client who has streptococcal pneumonia and a prescription for penicillin G by intermittent IV bolus. Altered mental status 2. The nurse should monitor the client for which of the following sensory deficits?, A nurse is assessing a client who just received filgrastim for myelosuppression, Which of the following should the nurse identify as an indication that the client is having an Jul 31, 2024 · Study with Quizlet and memorize flashcards containing terms like A patient who is prescribed intravenous (IV) vancomycin reports frequent ringing in the ears. Switch the iv medication to a different antibiotic. client report of a headache c. 1. Notify physician or nursing staff immediately if these reactions occur. Assess vital signs and urine output. Which of the following actions should the nurse take? Document that the client experienced an anaphylactic reaction to the medication. B) Administer diphenhydramine (Benadryl). D. based on this trough drug level what is the nurses priority action A. When a patient is on aminoglycoside therapy, the nurse will monitor the patient for which indicators of potential toxicity? a. A nurse is assessing a client after administering IV vancomycin. What will the nurse initially assess the client for if an allergic reaction occurs? A. What should the nurse do? - Run the infusion as directed (over one hour) and note the time that it was started in the chart. Which of the following findings should the nurse recognize as a manifestation of an allergic reaction A) Report of tightness in the chest B) Dilated pupils C) Report of metallic taste in client's mouth D) Brown colored urine, A nurse is assessing a A nurse is assessing a client after administering IV vancomycin. Which characteristic finding associated with hypoalbuminemia should the nurse anticipate assessing? 1. Introduction and Rationale . 10 min into the infusion of the third dose, the client reports that the IV site itches and that he feels dizzy and short of breath. localized redness of the catheter insertion site B. Client report of a headache c. Administer an additional dose of vancomycin. Change the IV tubing. Which of the following findings is the nurse's priority to report to the provider? a) Redness at the injection site b) Nausea and vomiting c) Increased urine output d) Difficulty hearing high-pitched sounds Study with Quizlet and memorize flashcards containing terms like Which of the following disorders is characterized by an increased autoantibody production?, The nurse is administering intravenous vancomycin. Which of the following findings is the nurse's priority to report to the provider? Localized redness at the catheter insertion site. This protocol details the dosing, prescribing, monitoring and administration of intravenous vancomycin as an intermittent (pulsed) infusion. The nurse will be sure to monitor which of the A nurse is assessing a client after administering IV vancomycin. Change the IV infusion Site Decrease the infusion rate on the IV Apply cold a patient has been receiving therapy with the aminoglycoside tobramycin , and the nurse notes that the patient later trough drug level is 3 mpg/mL. call the lab to have the test Study with Quizlet and memorize flashcards containing terms like C. Localized redness at the catheter insertion site. "If just a few bacteria make you sick, this is virulence. The nurse notes a flushing of the neck and tachycardia. Which action should a nurse take? Reduce the infusion rate. Hang the second unit of packed red blood cells for a client with a hemoglobin of 6 g/dL (60 g/L) 3. C. What should the nurse educate the patient is a major side effect of antihistamines?, The nurse is evaluating a NURSING CONSIDERATIONS for ANTIBIOTICS: GLYCOPEPTIDES: ASSESSMENT AND MONITORING: Assessment and monitoring: vancomycin Assessment. Jun 20, 2024 · A nurse is assessing a client who is receiving IV vancomycin. Decreased blood urea nitrogen (BUN) levels, 2. Audible inspiratory stridor Study with Quizlet and memorize flashcards containing terms like A patient develops flushing, rash, and pruritus during an IV infusion of vancomycin [Vancocin]. audible inspiratory stridor Oct 7, 2023 · A nurse is assessing a client after administering IV vancomycin. Audible inspiratory stridor The nurse is administering intravenous vancomycin. The nurse notes that the client has received twice the normal heparin dose over the past 48 hr. Audible inspiratory stridor Study with Quizlet and memorize flashcards containing terms like A client who has a history of myocardial infarction (MI) is prescribed aspirin 325 mg. Change the IV infusion site. Available is tetracycline Mar 24, 2023 · Vancomycin is a medication used in the treatment of serious Gram-positive bacterial infections. Aug 8, 2024 · The healthcare provider prescribes vancomycin 500 mg IV every 12 hours for a client with methicillin-resistant staphylococcus aureus (MRSA). Which of the following actions should the nurse take? Decrease the infusion rate on the IV. Tinnitus and dizziness d. A nurse is caring for a client who has streptococcal pneumonia and a prescription for penicillin G by intermittent IV bolus. 5 g/dL (15 g/L). Change the iv infusion site. Gentamicin B. Which intervention does the nurse anticipate?, A client is receiving nasogastric tube feedings as nutritional rehabilitation for anorexia nervosa. administering sodium polystyrene sulfonate b. 3. instructing a client to increase potassium and sodium intake c. A. What The nurse is administering intravenous vancomycin. administer the drug as ordered B. The dose of medication is due now, but a trough level is not yet available in the chart. This activity reviews the indications, action, and contraindications for vancomycin as a valuable antimicrobial in treating Gram-positive bacterial infections. Jan 25, 2023 · Vancomycin flushing syndrome (VFS) is an anaphylactoid reaction caused by the rapid infusion of the glycopeptide antibiotic vancomycin. Review of the client's laboratory values shows that serum peak and trough levels are within the desired therapeutic range and the serum creatinine level is 4. 5 mg/dL. Which of the following actions should the nurse t The nurse is assessing a client's peripheral intravenous (IV) site after completion of a vancomycin infusion and notes that the area is reddened, warm, painful, and slightly edematous proximal to the insertion point of the IV catheter. Draw a trough level immediately prior to administering the medication and a peak level 30 minutes after the dose Rationale: timing of the peak and trough is based on the pharcokinetics of absorption and the half-life of the medication. "Most bacteria have developed antibiotic resistance. Obtain blood cultures. , A patient who is receiving vancomycin (Vancocin) IV for a methicillin Study with Quizlet and memorize flashcards containing terms like A nurse manager is providing an educational program on antibiotic sensitivity to bacterial infections. Client report of a headache. The health care provider has given the following orders. Easy bruising 3. Choice A reason: Client report of a headache is not the nurse's priority to report to the provider. . check for the presence of blood return 2. Question 10 1 / 1 pts. The trough level is the lowest serum level after pharmacokinetic effects have taken place Study with Quizlet and memorize flashcards containing terms like A nurse is planning to use the teach-back method to educate a client about a new antihypertensive medication. The nurse should anticipate that the provider will prescribe which of the following medications for the client? A nurse is caring for a client who was prescribed vancomycin IV for a MRSA infection. Which of the following findings is the nurse's priority to report to the provider? a. Vital Concept: Care of the client who is receiving peritoneal dialysis requires nursing assessment and interventions prior to, during, and after the procedure. hypotension and tachycardia B. 4 Place a urinary bag for drug screening. Cefazolin D. The pharmacy sent the correct dose in an IV bag with the instructions to give over one hour. c) The white blood cell (WBC) count of a client A nurse is caring for a client who is receiving IV heparin. , A nurse assesses a client who is Oct 3, 2023 · A nurse is assessing a client after administering IV vancomycin. The nurse is administering a vancomycin (Vancocin) infusion. b. The amount available is acetaminophen oral solution Detailed Answer Key Pharm Practice ABX, Oncology 1. The correct answer is choice b. Which action should a nurse take? A) Reduce the infusion rate. hhu uxm gyvcqc hcjt apuieu rhel wpxjw nely ybwziho lshbk