A nurse is reviewing the medical record of a client who is receiving vancomycin daily. The nurse should review which of the following laboratory results prior to administering the next dose?
Thyroid-stimulating hormone level
Blood glucose level
Total iron-binding count
BUN level
The Correct Answer is D
A. Thyroid-stimulating hormone level: TSH levels are used to assess thyroid function and are not affected by vancomycin therapy. Monitoring TSH is unrelated to safe administration of this antibiotic.
B. Blood glucose level: Blood glucose monitoring is important for clients with diabetes or receiving medications that affect glucose, but it is not directly relevant to vancomycin dosing or toxicity.
C. Total iron-binding count: Total iron-binding capacity reflects iron status and is unrelated to vancomycin therapy. It does not influence dosing or safety considerations for this antibiotic.
D. BUN level: Vancomycin is nephrotoxic, and kidney function must be monitored to prevent accumulation and toxicity. Blood urea nitrogen (BUN) provides an indicator of renal function, and reviewing it prior to the next dose helps ensure safe administration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "I feel like my heart is skipping beats.": Palpitations can occur with some medications, but they are less common with escitalopram. This may warrant further assessment but is not a typical adverse effect of the drug.
B. "I have noticed that I have decreased sexual interest.": Sexual dysfunction, including decreased libido, delayed ejaculation, and anorgasmia, is a well-known adverse effect of selective serotonin reuptake inhibitors (SSRIs) like escitalopram.
C. "I have recently lost 7 pounds.": Weight changes can occur with antidepressants, but mild weight loss is not typically considered a primary adverse effect of escitalopram and may reflect other factors.
D. "I feel less anxious when I am around my friend.": This statement reflects the therapeutic effect of escitalopram in reducing anxiety and improving mood, rather than an adverse effect.
Correct Answer is B
Explanation
A. Weight gain: Opioid withdrawal typically causes weight loss due to decreased appetite and gastrointestinal upset, rather than weight gain.
B. Yawning: Frequent yawning is a common early manifestation of opioid withdrawal, reflecting autonomic hyperactivity and central nervous system changes as the body adjusts to the absence of the opioid.
C. Constipation: Opioid withdrawal usually causes diarrhea rather than constipation, as opioid-induced bowel hypomotility resolves when the drug is discontinued.
D. Somnolence: Withdrawal is associated with hyperactivity, anxiety, and insomnia rather than excessive sleepiness. Somnolence is more characteristic of opioid intoxication.
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