The nurse is caring for a client who is receiving vancomycin. The nurse notes the client is experiencing flushing, rash, pruritus, and urticaria. The client's heart rate is 120 beats/min, and blood pressure is 92/57 mm Hg. What complication is the client experiencing?
Rhabdomyolysis
Red man syndrome
Side effects
Stevens-Johnson syndrome
The Correct Answer is B
A) Rhabdomyolysis is a serious condition characterized by the breakdown of skeletal muscle tissue and is not associated with the symptoms described.
B) Red man syndrome is an infusion reaction associated with the rapid infusion of vancomycin. Symptoms include flushing, rash, pruritus, urticaria, tachycardia, and hypotension.
C) Side effects are general and can include a range of symptoms. Red man syndrome is a specific reaction associated with vancomycin.
D) Stevens-Johnson syndrome is a severe skin reaction that involves blistering and peeling of the skin. It is not associated with the rapid infusion of vancomycin.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) Serum creatinine is an important marker of renal function, but specific gravity is more directly related to urine concentration and kidney function.
B) Troponin levels are primarily associated with cardiac function, not renal function.
C) Assessing specific gravity helps evaluate the kidney's ability to concentrate urine and is a valuable indicator of renal function.
D) Sodium levels can be important in assessing electrolyte balance but are not the primary indicator of renal function.
Correct Answer is C
Explanation
A) Hydroxyzine is an antihistamine that can reduce redness, itching, and edema.
B) While nausea can be a side effect, it is not the primary concern with hydroxyzine.
C) Avoiding alcohol is important as it can enhance the sedative effects of hydroxyzine.
D) Hydroxyzine is known for its sedative effects, and sedation is a common side effect that the client should be aware of.
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