The nurse is administering a vancomycin infusion.

What measure should the nurse implement to reduce complications that may occur with this drug’s administration?

Monitor blood pressure for hypertension during the infusion.

Restrict fluids during vancomycin therapy.

Infuse the drug over at least 1 hour.

Discontinue the drug immediately if red man syndrome occurs.

Answer and Explanation

The Correct Answer is C

Choice A rationale
Monitoring blood pressure for hypertension during the infusion is important, but it is not the primary measure to reduce complications with vancomycin administration3.
Choice B rationale
Restricting fluids during vancomycin therapy is not recommended. Adequate hydration is important when receiving vancomycin to prevent kidney damage3.
Choice C rationale
Infusing the drug over at least 1 hour is the most crucial measure to reduce complications that may occur with vancomycin administration. This is to prevent “red man syndrome,” a reaction that can cause flushing, rash, and hypotension3.
Choice D rationale
Discontinuing the drug immediately if red man syndrome occurs is not the primary measure. The infusion can often be slowed down or temporarily stopped to manage this reaction3.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

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

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

Choice A rationale
Pyridoxine, also known as vitamin B6, does not prevent discoloration of body fluids. This is not a known side effect of isoniazid.
Choice B rationale
While isoniazid can potentially cause liver damage, pyridoxine does not prevent this side effect. Instead, regular liver function tests are typically performed to monitor for this potential complication.
Choice C rationale
Pyridoxine is prescribed alongside isoniazid to prevent peripheral neuropathy, which is a potential side effect of isoniazid. Peripheral neuropathy can cause symptoms such as numbness and tingling in the hands and feet.
Choice D rationale
Pyridoxine does not prevent drug-resistant tuberculosis. Drug resistance is a complex issue that is not prevented by vitamin supplementation. Prednisone Prednisone Explore

A. A client with a hip fracture and is on bedrest for 4 weeks B. A client who has severe pain and is prescribed morphine C. A client who is post-operative and is on a clear liquid diet D. A client with recent a stroke and has difficulty swallowing

Correct Answer is D

Explanation

Choice A rationale
A client with a hip fracture and is on bedrest for 4 weeks may indeed experience constipation due to decreased physical activity. However, this situation would not necessarily require the nurse to question the order for psyllium. Psyllium is a bulk-forming laxative that can help relieve constipation by increasing stool bulk and improving bowel regularity.
Choice B rationale
Morphine is an opioid medication that can cause constipation as a side effect. Therefore, a client who is experiencing severe pain and is prescribed morphine may benefit from a laxative like psyllium to help manage opioid-induced constipation. This situation would not necessarily require the nurse to question the order for psyllium.
Choice C rationale
A client who is post-operative and is on a clear liquid diet may experience constipation due to the low fiber content of the diet. However, this situation would not necessarily require the nurse to question the order for psyllium. Once the client progresses to a regular diet, psyllium can help add bulk to the stool and promote regular bowel movements.
Choice D rationale
This choice is correct. A client with a recent stroke who has difficulty swallowing may be at risk for aspiration, or the inhalation of food or liquid into the lungs, when taking psyllium. Psyllium is a bulk-forming laxative that absorbs water in the intestines to form a softer, bulkier stool. If a client with swallowing difficulties were to aspirate the psyllium, it could potentially expand in the lungs when it comes into contact with moisture, leading to serious complications. Therefore, the nurse should question the order for psyllium in this situation.

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

The nurse is administering a vancomycin infusion. What measure should the nurse implement to reduce complications that may occur with this drug’s administration?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with tuberculosis has been prescribed isoniazid and pyridoxine. Which adverse effects is the pyridoxine intended to prevent?

Correct Answer is C

Explanation

The physician orders psyllium for constipation. Which client situation would require the nurse to his order?

Correct Answer is D

Explanation

A patient has been prescribed radioactive iodine in preparation for a total thyroidectomy due to thyroid cancer. What advice about taking the medication should the nurse provide?

A client comes to the clinic and reports that they stopped taking their prescribed steroids early because they felt much better. What side effect should the nurse anticipate in this client?

A patient has been administered famotidine. Which observation would suggest that the medication has not had its intended effect?

The nurse is teaching a patient who will be taking a proton pump inhibitor as long-term therapy about potential side effects. Which statement should the nurse include in the education to the patient?

Which tuberculosis patient is at the greatest risk of developing a drug-resistant form of the disease?

A patient has been prescribed the antibiotic doxycycline. What is the most important information for the nurse to include when educating the patient?

A patient calls the clinic and reports feeling unwell, with symptoms of rapid heart rate, severe headache, and light-headedness. The nurse notes that the patient was prescribed metronidazole a few days ago. What substance could likely be causing these symptoms?

The nurse is teaching a patient about home administration of insulin. The patient will receive regular insulin and NPH insulin at 0700 every day. What is important to teach the patient?

The nurse is administering a vancomycin infusion.

What measure should the nurse implement to reduce complications that may occur with this drug’s administration?