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.

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Correct Answer is C

Explanation

Choice A rationale
A persistent cough is not directly related to the administration of famotidine. Famotidine is a histamine-2 blocker that works by decreasing the amount of acid the stomach produces. It is used to treat and prevent ulcers in the stomach and intestines and to treat conditions in which the stomach produces too much acid. A persistent cough could be a symptom of many other conditions, but it is not a direct indicator of the effectiveness or ineffectiveness of famotidine.
Choice B rationale
The absence of a sour taste in the mouth, often associated with acid reflux, could suggest that famotidine is working as it should. However, the absence of a sour taste does not definitively indicate that the medication has had its intended effect, as the patient may not have experienced this symptom even before taking the medication.
Choice C rationale
Famotidine is used to decrease the amount of acid in the stomach. A normal stomach pH is typically around 1.5 to 3.5, which is highly acidic. If a patient’s stomach pH is measured at 5, which is less acidic than normal, it could suggest that the famotidine has not had its intended effect of reducing stomach acid.
Choice D rationale
While headaches are listed as a common side effect of famotidine, the presence of headaches does not necessarily suggest that the medication has not had its intended effect. Headaches could be caused by a variety of factors and are not a direct indicator of the level of stomach acid or the effectiveness of famotidine.

A. Ibuprofen B. Diphenhydramine C. Loratadine D. Acetaminophen.

Correct Answer is C

Explanation

Choice A rationale
Ibuprofen does not have a significant interaction with erythromycin18.
Choice B rationale
Diphenhydramine does not have a significant interaction with erythromycin18.
Choice C rationale
Loratadine should be avoided while on erythromycin. Erythromycin can increase the concentration of loratadine, which can lead to an increased risk of side effects, including heart rhythm abnormalities18.
Choice D rationale
Acetaminophen does not have a significant interaction with erythromycin18. Nystatin Nystatin Explore

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

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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The nurse is administering a vancomycin infusion.

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