A nurse is assessing a client after administering iv vancomycin
A nurse is assessing a client after administering iv vancomycin. Which of the following findings is the nurse's priority to report to the provider? A. A. Change the IV tubing. A nurse is assessing a client after administering IV vancomycin. 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 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. Which measure A nurse is assessing a client after administering IV vancomycin. !!! Answer and Explanation. Which of the following findings is the nurses priority to report to the provider? A. Client report of tinnitus. Decreased blood urea nitrogen (BUN) levels, 2. D. A headache is a common and mild side effect of vancomycin, which is an antibiotic used to treat serious infections. The pharmacy sent the correct dose in an IV bag with the instructions to give over one hour. Dec 28, 2023 · Vancomycin nursing implications are divided into nursing assessment, interventions, and evaluation. 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. 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. This medicine is given through a needle placed in one of your veins. Vancomycinnursing assessment. 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. Notify physician or nursing staff immediately if these reactions occur. The nurse realizes that the dose was ordered for 1 PM and it is now 1:45 PM. 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. Which of the following actions should the nurse take? Decrease the infusion rate on the IV. 1. , A nurse is assessing a client after administering IV vancomycin. "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. candida d. 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 information should the nurse include in this teaching? Select all that apply. Check for the presence of blood return. C) Change the IV tubing. Collect the health history and note any allergy to vancomycin. Which action should the nurse NHS Grampian Staff Guidance for the Administration of Intravenous Vancomycin in Adults via Intermittent (pulsed) Infusion . , A nurse assesses a client who is Oct 3, 2023 · A nurse is assessing a client after administering IV vancomycin. Which of the following findings is the nurse's priority to report to the provider? a. 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). Obtain blood cultures. 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. The nurse has administered the morning dose of tobramycin to a patient according to the prescription. Change the IV infusion site. 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 action should a nurse take? Reduce the infusion rate. Introduction and Rationale . 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. Which intervention does the nurse anticipate?, A client is receiving nasogastric tube feedings as nutritional rehabilitation for anorexia nervosa. 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. localized redness at the catheter insertion site b. Altered mental status 2. What The nurse is administering intravenous vancomycin. based on this trough drug level what is the nurses priority action A. client report of a headache c. localized redness of the catheter insertion site B. check for the presence of blood return 2. Client report of a headache C. Question 10 1 / 1 pts. 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. What will the nurse initially assess the client for if an allergic reaction occurs?, A nurse is preparing a client for allergy skin testing. Sep 1, 2024 · Proper Use. 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. Decrease the infusion rate on the IV. 45. 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. 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. Localized redness at the catheter insertion site. b) A client with hyponatremia is becoming increasingly confused, disoriented, and agitated. The dose of medication is due now, but a trough level is not yet available in the chart. 2. Document that the client experienced an anaphylactic reaction to the medication. hypotension and tachycardia B. 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]. Start ampicillin 125 mg IV now. Easy bruising 3. 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. Administer IV bumetanide to a client with heart failure who has bilateral crackles and dyspnea 2. Client report of a headache. " C. Which action performed by the student nurse indicates effective learning? a. Drug information provided by: Merative, Micromedex ®. 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). Ciprofloxacin C. this drug is given daily and the next dose is to be administered now. 5 mg/dL. The nurse is administering a vancomycin (Vancocin) infusion. Audible inspiratory stridor The nurse is administering intravenous vancomycin. , 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. Administer an additional dose of vancomycin. 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. 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. The nurse should include in the teaching that vancomycin indicated for which of the following infections? a. 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. A nurse or other trained health professional will give you this medicine in a hospital. D) Check the patency of the IV. administer the drug as ordered B. 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. The health care provider has given the following orders. d. 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. This activity reviews the indications, action, and contraindications for vancomycin as a valuable antimicrobial in treating Gram-positive bacterial infections. Assess vital signs and urine output. The patient is being treated with combination therapy of a cefazolin and an aminoglycoside. "Pathogens Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who has been receiving IV gentamycin. client report of tinnitus d. A nurse is caring for a client who has streptococcal pneumonia and a prescription for penicillin G by intermittent IV bolus. Jun 20, 2024 · A nurse is assessing a client who is receiving IV vancomycin. 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. c) The white blood cell (WBC) count of a client A nurse is caring for a client who is receiving IV heparin. Which of the following actions should the nurse take? A. "If just a few bacteria make you sick, this is virulence. Jan 25, 2023 · Vancomycin flushing syndrome (VFS) is an anaphylactoid reaction caused by the rapid infusion of the glycopeptide antibiotic vancomycin. 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. 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. Hang the second unit of packed red blood cells for a client with a hemoglobin of 6 g/dL (60 g/L) 3. Loss of body hair 4. hold the drug and notify the provider 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. Choice A reason: Client report of a headache is not the nurse's priority to report to the provider. the presence and location of pruritus C. This activity will highlight the mechanism of action, adverse And in the oral form, we use vancomycin for the treatment of C diff. , 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. Tinnitus and dizziness d. Cefazolin D. Study with Quizlet and memorize flashcards containing terms like 1. It is in the cell wall synthesis inhibitor class of antimicrobial medications. A nurse is assessing a client after administering IV vancomycin. Pitting edema Hyponatremia is a condition where the sodium level in the blood is too low, which can cause confusion, lethargy, seizures, and coma. Aug 8, 2024 · The healthcare provider prescribes vancomycin 500 mg IV every 12 hours for a client with methicillin-resistant staphylococcus aureus (MRSA). b. 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. Administer diphenhydramine [Benadryl]. Which characteristic finding associated with hypoalbuminemia should the nurse anticipate assessing? 1. 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. Available is tetracycline Mar 24, 2023 · Vancomycin is a medication used in the treatment of serious Gram-positive bacterial infections. Replace the empty IV opioid . remove the IV site Study with Quizlet and memorize flashcards containing terms like 1. Which order will the nurse implement first? 1. Client report of a headache c. Gentamicin B. administering sodium polystyrene sulfonate b. Switch the iv medication to a different antibiotic. Which action should a nurse take? A) Reduce the infusion rate. pseudomonas aeruginosa b. The nurse should notify the health care provider about which serum laboratory results before administering the drug? Select all that apply. "I can start the medication 30 minutes earlier. Which of the following actions should the nurse take? Document that the client experienced an anaphylactic reaction to the medication. The Correct Answer is B. Assess blood pressure periodically and compare to normal values (See A nurse is administering IV acyclovir to a client. Audible inspiratory stridor Study with Quizlet and memorize flashcards containing terms like A client is ordered to receive vancomycin IV. " B. C. Symptoms may include weakness, angioedema, and chest or back pain. 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. Client report of tinnitus d. audible inspiratory stridor Oct 7, 2023 · A nurse is assessing a client after administering IV vancomycin. call the lab to have the test Study with Quizlet and memorize flashcards containing terms like C. White blood cell count of 8000 cells/mm3 c. 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. . 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. 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. 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. "Most bacteria have developed antibiotic resistance. Client report of tinnitus D. 4 Place a urinary bag for drug screening. Which of the following findings is the nurse's priority to report to the provider? Localized redness at the catheter insertion site. Audible inspiratory stridor. the severity of cutaneous warmth and flushing D. 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. Give a 10 mL/kg bolus of fluid. Check the patency of the IV. klebsiella c. The nurse notes a flushing of the neck and tachycardia. B. 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. 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. B) Administer diphenhydramine (Benadryl). Assess for the interaction with any other antibiotics or medicines the client is taking. 3. The nurse notes that the client has received twice the normal heparin dose over the past 48 hr. This protocol details the dosing, prescribing, monitoring and administration of intravenous vancomycin as an intermittent (pulsed) infusion. 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. 5 g/dL (15 g/L). 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. The amount available is acetaminophen oral solution Detailed Answer Key Pharm Practice ABX, Oncology 1. Vital Concept: Care of the client who is receiving peritoneal dialysis requires nursing assessment and interventions prior to, during, and after the procedure. c. 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. When a patient is on aminoglycoside therapy, the nurse will monitor the patient for which indicators of potential toxicity? a. instructing a client to increase potassium and sodium intake c. 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. VFS consists of a pruritic, erythematous rash to the face, neck, and upper torso, which may also involve the extremities to a lesser degree. 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. One, some, or all responses may be correct. 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. Fever b. 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. The nurse will be sure to monitor which of the A nurse is assessing a client after administering IV vancomycin. 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. 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. Localized redness at the catheter insertion site b. What will the nurse initially assess the client for if an allergic reaction occurs? A. At this time, which action by the nurse is best? 1. The correct answer is choice b. Change the iv infusion site. 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. qjeqryglaeavlbaaeqgzxsghaaxcisixustdxqbdsxfbiyrktlei