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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Correct Answer is B

Explanation

A. Ventricular filling time and diastolic filling time are not formulas used to calculate cardiac output; they pertain to the phases of the cardiac cycle.
B. Cardiac output is calculated by multiplying stroke volume (the amount of blood ejected by the heart with each beat) by heart rate (the number of beats per minute). This formula accurately reflects the overall volume of blood the heart pumps in one minute.
C. Myocardial contractility and myocardial blood flow are important factors in cardiac function but do not directly provide a formula for calculating cardiac output.
D. Preload and afterload are factors that affect stroke volume but are not used to calculate cardiac output directly.

A. While putting on the first glove, touch only the outside surface of the glove. B. Remove outer glove package by tearing the package open. C. After the second glove is on, interlock hands. D. With gloved dominant hand, slip fingers underneath the second glove cuff. E. Lay glove package on clean flat surface above waistline. F. Glove the dominant hand of the nurse first.

Correct Answer is B,C,D,E,F

Explanation

A. This statement is incorrect; the nurse should touch only the inside of the first glove while putting it on to maintain sterility.

B. The outer glove package should be removed by tearing it open to access the gloves inside.

C. After putting on the second glove, interlocking hands helps to ensure that the gloves remain sterile.

D. Slipping fingers underneath the second glove cuff with the gloved dominant hand helps to keep the gloves sterile while donning them.

E. Laying the glove package on a clean flat surface above the waistline prevents contamination.

F. The dominant hand should be gloved first to maintain a sterile technique, as the dominant hand is used for the procedure.

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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 patient has been diagnosed with heart failure and cardiac output is decreased. Which formula can the nurse use to calculate cardiac output?

Correct Answer is B

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The nurse is preparing to insert a urinary catheter. The nurse is using open gloving to apply the sterile gloves. Which steps will the nurse take? (Select all that apply.)

Correct Answer is B,C,D,E,F

Explanation

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