A nurse is assessing a client who is receiving IV vancomycin. The nurse notes a flushing of the neck and tachycardia. Which of the following actions should the nurse take?
Document that the client experienced an anaphylactic reaction to the medication.
Decrease the infusion rate on the IV.
Apply cold compresses to the neck area.
Change the IV infusion site.
The Correct Answer is B
A. The symptoms described (flushing and tachycardia) are not indicative of an anaphylactic reaction, which typically includes symptoms like difficulty breathing, hives, or swelling. Documenting it as an anaphylactic reaction would be misleading and could lead to inappropriate management.
B. Slowing the infusion rate can help mitigate the symptoms of Red Man Syndrome, which is often related to the rate of vancomycin administration. The recommended infusion rate for vancomycin is generally over at least 60 minutes, and reducing the rate can help alleviate symptoms.
C. Applying cold compresses should help with pain but as important like documentation.
D. The infusion should be continued and not used again for the client.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
alcohol consumption affects liver metabolism due to injury to the hepatic parenchyma. Impairment of liver function interferes with the metabolism and clearance of phenytoin leading to increased risk of adverse effects.
A-antacids should be avoided as they decrease the absorption of phenytoin
B flossing teeth is important for maintaining oral hygiene reducing the risk of oral complications of phenytoin-induced gingival hyperplasia
D phenytoin does not cause changes in urine color
Correct Answer is A
Explanation
Omeprazole is a (PPI) proton pump inhibitor used to inhibit excessive acid secretion in the stomach. Persistent exposure of the stomach lining to acid leads to epigastric pain, bloating and feelings of early satiety. Reduction of acid secretion helps to relieve dyspeptic symptoms caused by irritation of gastric mucosa by the acid.
B. Omeprazole is not used for management of headaches
C, D- Omeprazole does not have effect on appetite or bowel movements. Absence of headache
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