The nurse is setting up an intravenous infusion pump to administer a dose of vancomycin [Vancocin] to a patient. What is the fastest rate at which the drug may be infused?
60 minutes
30 minutes
90 minutes
45 minutes
The Correct Answer is A
Vancomycin is often administered over at least 60 minutes to reduce the risk of infusion-related reactions, such as "Red Man Syndrome," which is characterized by flushing, rash, and itching. This reaction is caused by the rapid infusion of vancomycin, leading to the release of histamine.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Respiratory Function: Monitoring respiratory function is important for conditions like asthma or chronic obstructive pulmonary disease (COPD). It involves assessing lung sounds, oxygen saturation levels, and breathing patterns. This monitoring is essential to detect any signs of respiratory distress.
B. Cardiac Function: Monitoring cardiac function includes assessing heart rate, blood pressure, and rhythm. It's crucial for patients with heart conditions like heart failure or arrhythmias. This monitoring helps in identifying irregularities in heart function and provides insights into the overall cardiovascular health of the patient.
C. Renal Function: Monitoring renal function involves assessing kidney health, which includes tests like serum creatinine and glomerular filtration rate (GFR). This is vital for patients with kidney diseases or those taking medications that can impact kidney function. Monitoring renal function helps in detecting any signs of kidney impairment or failure.
D. Liver Function: Monitoring liver function involves tests like liver enzymes (AST, ALT), bilirubin levels, and albumin levels. This is essential for patients taking medications that can affect the liver, such as certain antifungals, statins, or pain relievers. Monitoring liver function helps in identifying liver damage or dysfunction early on.
Correct Answer is B
Explanation
A. Wear high-top shoes to avoid tendon rupture:
This statement is incorrect. Tendon rupture is a known side effect of fluoroquinolone antibiotics like ciprofloxacin, especially in certain populations. However, wearing high-top shoes does not prevent this. Patients should be educated about the signs of tendon pain, swelling, or inflammation and should be advised to stop the medication and contact their healthcare provider if they experience such symptoms.
B. Use a barrier method of birth control (condoms) during antibiotic use:
This statement is partially correct. Antibiotics like ciprofloxacin do not interfere with the efficacy of hormonal birth control methods like pills, patches, or injections. However, it's advisable to use a barrier method like condoms as an additional form of contraception while taking antibiotics. This is to prevent potential interactions and ensure maximum contraceptive effectiveness.
C. Do not use any bronchodilator inhalers while taking the drug:
This statement is incorrect. Ciprofloxacin does not interact negatively with bronchodilator inhalers. Patients can continue using their prescribed inhalers as directed by their healthcare provider, especially if they are being used for conditions like asthma or chronic obstructive pulmonary disease (COPD).
D. Stop the medication as soon as you feel better:
This statement is incorrect. It's crucial for patients to complete the entire course of antibiotics as prescribed, even if they start feeling better before the course is finished. Stopping antibiotics prematurely can lead to incomplete eradication of the infection, potentially allowing the bacteria to develop resistance and cause a recurrence of the illness.
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