A nurse is preparing to administer vancomycin IV to an adult client. The client asks the nurse if the medication can be given 2 hr earlier. Which of the following statements should the nurse make?
“I can adjust the time and schedule for when it’s convenient for you.”.
“I can start the medication 30 minutes earlier.”.
“I have up to 2 hours after the usual schedule time to give you this medication.”.
“I can infuse the medication at a faster rate.”.
The Correct Answer is C
Vancomycin is an antibiotic that is used to treat seíious infections caused by bacteíia that are íesistant to other antibiotics. It is important to maintain a steady level of vancomycin in the blood to ensure its effectiveness and píevent íesistance oí toxicity. ľheíefoíe, vancomycin should be given at íegulaí inteívals, usually eveíy 12 hours, and the dose should be adjusted according to the patient’s weight and kidney function12.
However, there is some flexibility in the timing of vancomycin administration, as long as the total daily dose is given within 24 hours. According to the Mayo Clinic, "If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your íegulaí dosing schedule. Do not double doses."3 ľheíefoíe, the nuíse can give the medication up to 2 houís afteí the usual schedule time, but not eaílieí oí lateí.
Choice A is wrong because adjusting the time and schedule for the patient’s convenience may compíomise the effectiveness of vancomycin and increase the risk of íesistance or toxicity.
Choice B is wrong because staíting the medication 30 minutes earlier may result in a higher peak level of vancomycin in the blood, which may cause side effects such as heaíing loss, kidney damage, oí an alleígic íeaction called íed man syndíome12.
Choice D is wrong because infusing the medication at a fast rate may also cause a higher peak level of vancomycin in the blood and increase the risk of side effects12. Vancomycin should be infused slowly, at a íate not exceeding 10 mg per minute, over at least 60 minutes12.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The nurse should hold the irrigation solution bottle with the label facing away from the palm of the hand. This prevents the label from becoming wet and unreadable, and also prevents contamination of the sterile solution by the hand.
Choice A is wrong because placing sterile gauze over areas of spilled solution within the sterile field does not restore sterility. Any spillage or moisture on the sterile field renders it contaminated and unusable.
Choice C is wrong because removing the cap and placing it sterile-side up on a clean surface does not maintain sterility. The cap should be placed on a sterile surface, such as a sterile towel, with the edges up to prevent contamination of the inside of the cap.
Choice D is wrong because holding the bottle in the center of the sterile field when pouring the solution increases the risk of contaminating the field with drips from the bottle. The bottle should be held at least 15 cm (6 in) above the field and at its edge when pouring.
Correct Answer is C
Explanation
This is because anticipatory guidance is a type of health teaching that involves sharing information and experiences through educational activities designed to improve health knowledge, attitudes, behaviors, and skills. Anticipatory guidance helps parents to prevent or reduce health problems in their children by providing them with information on topics such as nutrition, immunization, injury prevention, and developmenta milestones. Providing anticipatory guidance classes through public schools is an example of a population-based public health intervention that aims to improve the health of a large group of people who share common characteristics or risks.
Choice A is wrong because tertiary health interventions are not the best way to improve health for the local population. Tertiary health interventions are those that focus on treating and rehabilitating people who have already developed a disease or disability. They are more costly and less effective than primary or secondary health interventions, which aim to prevent or detect diseases early.
Encouraging rural residents to focus health spending on tertiary health interventions would not address the underlying causes of poor health in the community.
Choice B is wrong because having a nurse from outside the community provide health lectures at the county hospital is not a culturally appropriate or accessible way to deliver health education. A nurse from outside the community may not understand the needs, values, beliefs, and practices of the rural residents, and may not be able to establish trust and rapport with them. Moreover, the county hospital may not be a convenient or comfortable location for many rural residents to attend health lectures, especially if they have transportation, financial, or time barriers.
A better approach would be to involve local community members and leaders in planning and delivering health education programs that are tailored to the rural context and culture.
Choice D is wrong because launching a media campaign to increase awareness about industrial pollution is not a sufficient action to improve health for the local population. While increasing awareness is an important first step, it does not necessarily lead to behavior change or environmental improvement.
A media campaign alone would not address the sources and effects of industrial pollution, nor would it provide solutions or resources for the rural residents to protect themselves from exposure.
A more comprehensive action would be to collaborate with other stakeholders, such as environmental agencies, industry representatives, and community groups, to develop and implement strategies for reducing and monitoring industrial pollution and its impact on the environment.
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