A nurse is collecting data from a client who is receiving vancomycin for a Clostridium difficile infection.
Which of the following findings is the priority for the nurse to report to the provider?

Two loose stools in the past 24 hr.

WBC 11,000/mm³.

Heart rate 104/min.

Creatinine 3.1 mg/dL.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Two loose stools in the past 24 hours could be a symptom of Clostridioides difficile infection, but it’s not necessarily a priority finding. The infection can cause diarrhea, but it’s not life-threatening.

Choice B rationale:

A WBC count of 11,000/mm³ is slightly elevated, indicating a possible infection. However, it’s not necessarily a priority finding as it’s not significantly high.

Choice C rationale:

A heart rate of 104/min is slightly elevated, indicating possible stress or anxiety. However, it’s not necessarily a priority finding as it’s not significantly high.

Choice D rationale:

Creatinine level of 3.1 mg/dL is significantly high, indicating possible kidney damage, which can be a side effect of vancomycin treatment. This should be reported to the provider immediately.

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Correct Answer is D

Explanation

Choice Arationale:

Aspiration (pulling back on the syringe before injection) is not recommended when administering enoxaparin. This could cause bruising.

Choice Brationale:

You should not massage the site following the injection as this could cause bruising.

Choice Crationale:

With enoxaparin and other low molecular weight heparins, you do not need to expel the air bubble before injecting the medication. The air bubble ensures that all the medication is delivered.

Choice D rationale:

Enoxaparin should be injected into abdominal tissue. This helps ensure proper absorption and reduces the risk of bruising.

A. Fish oil supplements. B. Calcium supplements. C. Bulk-forming laxatives. D. Oral antihistamines.

Correct Answer is B

Explanation

Choice A rationale:

Fish oil supplements do not have a known interaction with levothyroxine.

Choice B rationale:

Calcium supplements can interfere with the absorption of levothyroxine. They should be taken at least four hours apart from levothyroxine.

Choice C rationale:

While bulk-forming laxatives can interfere with the absorption of some medications, there’s no specific evidence they interfere with levothyroxine.

Choice D rationale:

Oral antihistamines do not have a known interaction with levothyroxine.

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A nurse is collecting data from a client who is receiving vancomycin for a Clostridium difficile infection.Which of the following findings is the priority for the nurse to report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Explanation

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A nurse is collecting data from a client who is receiving vancomycin for a Clostridium difficile infection.
Which of the following findings is the priority for the nurse to report to the provider?