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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "The antibiotic I have been taking doesn't work as well as it used to."
This statement shows awareness of decreased effectiveness, which can occur due to drug resistance. Bacteria can become resistant to antibiotics, leading to reduced efficacy of the medication over time.
B. "The bacteria in my body have become resilient."
This statement correctly attributes resistance to the bacteria. Resilience in this context means that bacteria have developed mechanisms to survive the effects of antibiotics, making the treatment less effective.
C. "Over time, an organism that had once been highly sensitive to an antibiotic may become less susceptible, or it may lose drug sensitivity entirely."
This statement accurately describes the concept of drug resistance. Bacteria can lose sensitivity to antibiotics, rendering the drugs ineffective against them.
D. "My body has become resistant to the antibiotic."
This statement is incorrect. It's the bacteria that develop resistance, not the patient's body. Patients don't become resistant to antibiotics; instead, bacteria evolve and adapt, making the drugs less effective against them.
Correct Answer is A
Explanation
A. Most type-1 reactions are allergic: This statement is accurate. Type-1 hypersensitivity reactions are typically associated with allergies. When a person is exposed to a specific allergen (like pollen or certain foods), their immune system overreacts, leading to various symptoms, from mild to severe.
B. It is mediated by IgA: This statement is incorrect. Type-1 hypersensitivity reactions are primarily mediated by immunoglobulin E (IgE) antibodies. When these antibodies bind to allergens, they trigger the release of histamine and other chemicals, causing allergic symptoms.
C. It never contributes to autoimmune diseases: This statement is incorrect. While type-1 hypersensitivity reactions are often associated with allergies, they are distinct from autoimmune diseases. In autoimmune diseases, the immune system mistakenly attacks the body's own cells and tissues, which is a different mechanism from hypersensitivity reactions.
D. Most occur against medications: This statement is not entirely accurate. While some type-1 hypersensitivity reactions can be triggered by medications (like penicillin), they can also be caused by various other allergens such as pollen, animal dander, insect venom, and certain foods. The prevalence of medication-induced type-1 reactions varies, and it's not accurate to say that most occur against medications.
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