Exhibits

Select 4 findings that would indicate to the nurse that the administration of the vancomycin antibiotic would be safe to administer.

A Peripheral IV in large vein

B Dosage in safe range

C No known allergies

D Potassium 4.4 mEq/L (4.4 mmol/L)

E Used for prophylaxis

F Blood urea nitrogen 17 mg/dL (6.07 mmol/L)

Answer and Explanation

Correct Answer : A,C,D,E

A. Peripheral IV in large vein
o   Reason: Vancomycin is administered via a large vein to minimize irritation and reduce the risk of phlebitis. A 20-gauge catheter in the right antecubital is appropriate for the infusion.
C. No known allergies
o   Reason: The absence of known allergies ensures that the client will not have an allergic reaction to vancomycin, which is crucial for safe administration of any medication.
D. Potassium 4.4 mEq/L (4.4 mmol/L)
o   Reason: Vancomycin does not have a direct relationship with potassium levels, but normal potassium levels are important for overall cardiac stability, especially given the client’s bradycardia.
E. Used for prophylaxis
o   Reason: Vancomycin is indicated for endocarditis prophylaxis in high-risk patients undergoing procedures like pacemaker insertion. Its use aligns with recommended prophylactic treatment guidelines.
Not Selected Findings:
B. Dosage in safe range
•   Reason: While important for safety, the specific dosage of vancomycin was not directly checked in the given information. The safe dosage was assumed to be appropriate based on standard practice.
F. Blood urea nitrogen 17 mg/dL (6.07 mmol/L)
•   Reason: Although BUN is a marker for renal function and high levels could indicate a need for dose adjustment, the provided BUN level is within a range that does not immediately suggest a contraindication for vancomycin.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is C

Explanation

A. Decrease abdominal pain: While restricted activity might help manage symptoms, the primary reason for activity restriction is not specifically to decrease abdominal pain.
B. Promote healing process: Restricted activity can indirectly promote healing, but the primary goal is to manage disease activity rather than directly promoting healing.
C. Reduce intestinal activity: Restricting activity helps reduce the workload on the intestines and limits exacerbation of symptoms, which is the main purpose of activity restriction in Crohn’s disease management.
D. Control diarrhea episodes: While activity restriction may help manage symptoms, its primary purpose is to reduce intestinal activity rather than specifically controlling diarrhea.

A. Abdominal cramping. B. Low grade fever. C. Bruising of the skin. D. Bloody emesis.

Correct Answer is D

Explanation

A. Abdominal cramping can occur with gastritis but is a common symptom that does not necessarily indicate a severe complication.
B. A low-grade fever may accompany gastritis but is not an urgent symptom that requires immediate reporting.
C. Bruising of the skin is not a typical symptom of gastritis and would not be directly related to acute gastritis caused by contaminated water.
D. Bloody emesis indicates potential gastrointestinal bleeding, which is a serious complication of acute gastritis and requires immediate medical attention to prevent further complications.

View Question and Answer

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

Exhibits Select 4 findings that would indicate to the nurse that the administration of the vancomycin antibiotic would be safe to administer.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Restricted activity is prescribed for a client with Crohn's disease. The nurse should explain that the primary purpose of the activity restriction is to obtain which outcome?

Correct Answer is C

Explanation

The nurse is developing a teaching plan for a client with acute gastritis caused by drinking contaminated water. The nurse should emphasize the need to report the onset of which problem?

Correct Answer is D

Explanation

Exhibits The nurse collects blood from the client during peripheral IV line placement. What laboratory specimens would the nurse expect for the provider to order? Select all that apply.

A client with schizophrenia reports auditory hallucinations when admitted to the hospital. Which question is most important for the nurse to include in the assessment of this client?

The nurse plans to collect a 24-hour urine specimen for a creatinine clearance test. Which instruction should the nurse provide to the adult male client?

The nurse is providing postoperative care for an adolescent who had an amputation of the left leg for osteosarcoma. The adolescent describes experiencing phantom limb pain. Which non-pharmacological intervention should the nurse provide?

An unlicensed assistive personnel (UAP) reports that a client's right hand and fingers spasm when taking the blood pressure using the same arm. After confirming the presence of the spasms, which action should the nurse take?

Which intervention should the nurse implement during the administration of a vesicant chemotherapeutic agent via an intravenous (IV) site in the client's arm?

Exhibits The nurse suspects elder mistreatment. Click to indicate if the listed manifestation of abuse is consistent with physical abuse, abandonment, or neglect. Each row must have only one response option selected.

Exhibits

Select 4 findings that would indicate to the nurse that the administration of the vancomycin antibiotic would be safe to administer.