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 B
Explanation
a) Naloxone does not increase the excretion of opioids by altering serum pH; its primary action is at the receptor level.
b) Naloxone is an opioid receptor antagonist, meaning it blocks or prevents the activation of opioid receptors. This is how it counteracts the effects of opioids like morphine.
c) Naloxone does not regulate the sensitivity of opioid receptors by neurochemical alterations. Its action is more direct as an antagonist.
d) Naloxone is not an agonist; it does not produce opioid-like effects. Instead, it competes with opioids for receptor binding and blocks their effects.
Correct Answer is D
Explanation
a) Itraconazole is typically administered orally for fungal infections, not applied topically. This statement is incorrect.
b) Using the medication for at least one week after symptoms have cleared is not a standard instruction for itraconazole. Treatment duration is usually prescribed by the healthcare provider.
c) Sun exposure does not minimize the effects of itraconazole. This statement is inaccurate.
d) Itraconazole is not usually applied topically, but this option is the closest to the correct information. However, the more accurate statement would be that itraconazole is effective when taken systemically for fungal infections.
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