A patient is receiving vancomycin. Which physiological function is the priority for the nurse to assess?

Vision

Heart tones

Bowel sounds

Hearing

Answer and Explanation

The Correct Answer is D

A. Vision is not commonly affected by vancomycin, so it is not a priority to assess.
B. Heart tones are not directly impacted by vancomycin and do not require immediate monitoring unless there are specific cardiovascular concerns.
C. Bowel sounds are not directly influenced by vancomycin and do not need to be prioritized in this case.
D. Vancomycin is known to be ototoxic, especially in high doses or with prolonged use, so monitoring for signs of hearing loss or tinnitus is essential to prevent potential irreversible damage.

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Free Nursing Study Resources

Correct Answer is ["A","C","D","E"]

Explanation

A. Prolonged stress can weaken the immune system, making patients more susceptible to infections.
B. Prolonged stress typically leads to increased blood pressure due to the body's stress response, rather than low blood pressure.
C. Chronic stress can contribute to the development of diabetes by affecting glucose metabolism and increasing insulin resistance.
D. Allostasis refers to the process of achieving stability through change; prolonged stress can disrupt allostatic balance and lead to health issues.
E. Prolonged stress has been linked to an increased risk of developing certain types of cancer due to its effects on immune function and hormonal balance.

A. Communication signs for airborne precautions B. Surgical mask, gown, gloves, eyewear C. N95 respirator, gown, gloves, eyewear D. Negative-pressure airflow in room E. Private room F. Communication sign for droplet precautions

Correct Answer is A,C,D,E

Explanation

A. Communication signs for airborne precautions are necessary to inform staff and visitors about the required precautions for TB, which is spread via airborne transmission.

B. A surgical mask is not adequate for TB; instead, an N95 respirator is required to filter out the airborne particles effectively.

C. The N95 respirator, gown, gloves, and eyewear are essential personal protective equipment for caring for a patient with tuberculosis. The N95 respirator specifically protects against inhaling infectious particles.

D. Negative-pressure airflow in the room is critical for tuberculosis patients to prevent airborne contaminants from spreading to other areas of the facility.

E. A private room is required to isolate the patient and reduce the risk of transmission to other patients and staff.

F. A communication sign for droplet precautions is not applicable as tuberculosis is primarily transmitted via airborne routes, not droplet transmission.

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A patient is receiving vancomycin. Which physiological function is the priority for the nurse to assess?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a patient with prolonged stress. Which conditions will the nurse monitor for in this patient? (Select all that apply.)

Correct Answer is ["A","C","D","E"]

Explanation

The nurse has received a report from the emergency department that a patient with tuberculosis will be coming to the unit. Which items will the nurse need to care for this patient? (Select all that apply.)

Correct Answer is A,C,D,E

Explanation

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