Exhibits

The nurse is preparing the client's plan of care.

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

Dosage in safe range

Peripheral IV in large vein

No known allergies

Used for prophylaxis

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

Potassium 4.4 mEq/L (4.4 mmol/L)

Answer and Explanation

Correct Answer : A,B,C,E

A. Dosage in safe range: Ensuring that the dosage is within a safe range is crucial for preventing potential toxicity or adverse reactions.
B. Peripheral IV in large vein: Administering vancomycin through a peripheral IV in a large vein reduces the risk of phlebitis and ensures proper medication delivery.
C. No known allergies: Confirming that the client has no known allergies, especially to vancomycin or related antibiotics, is essential to avoid an allergic reaction.
D. Used for prophylaxis: While using vancomycin for prophylaxis is appropriate, this does not directly relate to safety in administration, which is more concerned with avoiding adverse reactions.
E. Blood urea nitrogen 17 mg/dL (6.07 mmol/L): A normal BUN level suggests that the kidneys are functioning properly, which is important because vancomycin is renally excreted, and impaired renal function could increase the risk of toxicity.
F. Potassium 4.4 mEq/L (4.4 mmol/L): Although within the normal range, this value does not directly impact the safety of vancomycin administration, unlike factors such as renal function or potential allergic reactions.

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Correct Answer is B

Explanation

A. Captopril, an ACE inhibitor, is not commonly associated with jaundice, so it is less likely to be the cause of this symptom.
B. Acetaminophen can cause liver toxicity, which may manifest as jaundice, especially in high doses or with chronic use. This requires immediate attention.
C. Omeprazole, a proton pump inhibitor, is not typically associated with jaundice.
D. Prednisone, a corticosteroid, can have various side effects, but jaundice is not a common one.

A. The dose of insulin drawn up in the syringe B. The site for the insulin administration C. The type of insulin to be administered D. The sliding scale insulin lispro prescription E. The insulin concentration F. The insulin vial for color and clarity G. The history and physical with the diabetes diagnosis listed H. The expiration date on the insulin vial

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

Explanation

A. (The dose of insulin drawn up in the syringe): Ensures the correct dosage is being administered, which is critical to avoid under- or overdosing.
B. The site for the insulin administration is not typically double-checked with another nurse, as they are part of the nurse's standard assessment and practice.
C. (The type of insulin to be administered): Confirms that the correct insulin type (e.g., insulin lispro) is being given, as administering the wrong type could lead to improper glucose control.
D. (The sliding scale insulin lispro prescription): Verifies the correct sliding scale dosing, ensuring it matches the client's current blood glucose level.
E. (The insulin concentration): Ensures the insulin concentration is appropriate and aligns with the prescribed dose.
F. (The insulin vial for color and clarity): Confirms that the insulin is not compromised; any discoloration or cloudiness could indicate that the insulin is not safe to use.
H. (The expiration date on the insulin vial): Ensures the insulin is within its expiration date and effective.
G. The history and physical with the diabetes diagnosis listed are not typically double-checked with another nurse, as they are part of the nurse's standard assessment and practice.

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Exhibits The nurse is preparing the client's plan of care. 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

Correct Answer is B

Explanation

Exhibits The nurse prepares to give 2 units of insulin lispro. Which should the nurse double check with a second nurse? Select all that apply.

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

Explanation

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Exhibits

The nurse is preparing the client's plan of care.

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