A nurse is preparing to administer vancomycin IV to a client. Which of the following medications may interact with vancomycin?
Nitroglycerin
Furosemide
Calcium chloride
Morphine
The Correct Answer is B
A. Nitroglycerin: Nitroglycerin is a vasodilator used to treat angina and does not have known interactions with vancomycin. Concurrent use does not increase the risk of vancomycin toxicity or adverse effects.
B. Furosemide: Furosemide is a loop diuretic that can be nephrotoxic and ototoxic, similar to vancomycin. Using both medications concurrently increases the risk of kidney damage and hearing loss, requiring careful monitoring of renal function and auditory status.
C. Calcium chloride: Calcium chloride is used for hypocalcemia and cardiac stabilization but does not interact directly with vancomycin. No enhanced toxicity or adverse reaction is expected when these drugs are administered together.
D. Morphine: Morphine is an opioid analgesic with no direct interaction with vancomycin. While both drugs may depress the central nervous system in different ways, morphine does not increase the risk of vancomycin-related nephrotoxicity or ototoxicity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Administer the injection IM: Insulin should be administered subcutaneously, not intramuscularly, because IM injections can lead to faster absorption and increase the risk of hypoglycemia.
B. Roll the vial to mix the particulate matter within the suspension: Regular insulin is a clear solution and does not contain particulate matter, so rolling the vial is unnecessary. Only cloudy or suspension insulins, like NPH, require gentle mixing.
C. Draw up the insulin with a U-500 syringe: U-500 syringes are reserved for clients requiring very high insulin doses. Most standard doses of regular insulin are drawn using U-100 syringes, and using a U-500 syringe unnecessarily increases the risk of dosing errors.
D. Verify the dosage with another nurse: Verification by another nurse is a critical safety step, particularly for high-alert medications like insulin. It helps prevent dosing errors and ensures safe administration to the client.
Correct Answer is C
Explanation
A. drops/mL: Drops per milliliter is a measurement used to calculate manual drip rates but is not a unit used when programming an electronic IV pump.
B. drops/min: Drops per minute is relevant for manual infusion via gravity drip sets. IV pumps require volumetric input rather than counting drops per minute.
C. mL/hr: Intravenous pumps are programmed to deliver fluids in milliliters per hour. This unit allows precise control of the infusion rate and ensures accurate fluid replacement for a client with fluid volume deficit.
D. units/hr: Units per hour are typically used for medications like insulin or heparin. This unit is not appropriate for general IV fluid administration.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.