The nurse is to administer the patient's next dose of vancomycin at 9:30 a.m. What time will the nurse draw the patient's blood to check the trough vancomycin level?

8:30 a.m.

9:00 a.m.

10:00 a.m.

10:30 a.m.

Answer and Explanation

The Correct Answer is B

Choice A reason: Drawing at 8:30 a.m., 60 minutes before, is too early; trough levels, taken just before the next dose, reflect minimum concentration, and this timing risks inaccurate results.

Choice B reason: At 9:00 a.m., 30 minutes before the 9:30 a.m. dose, the trough level accurately measures the lowest vancomycin concentration, ensuring therapeutic monitoring aligns with pharmacokinetics.

Choice C reason: Drawing at 10:00 a.m., after the dose, measures a post-infusion level, not the trough; this timing misses the minimum concentration critical for dosing adjustments.

Choice D reason: At 10:30 a.m., well after the dose, blood reflects peak or random levels, not the trough, skewing data needed to assess vancomycin’s therapeutic efficacy and safety.

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Correct Answer is C

Explanation

Choice A reason: Understanding jokes assumes comprehension but ignores cultural comfort; humor’s acceptability varies, and this misses emotional readiness assessment.

Choice B reason: Jokes about staff may offend or confuse; without patient input, this risks cultural insensitivity, especially in Asian contexts valuing respect for authority.

Choice C reason: Asking feelings respects cultural norms; humor’s therapeutic effect depends on patient receptivity, ensuring it aligns with individual and cultural preferences.

Choice D reason: Joking about conditions can distress; it’s culturally inappropriate in many Asian settings, potentially worsening trust or emotional state without consent.

A. Document the error on the client's medical record and notify the supervisor. B. Check the client's MAR for drug allergies, and if there is no indicated allergy to the drug administered in error, no further action is necessary. C. Call the health care provider immediately and complete an incident report. D. Administer the original drug and observe the client frequently for adverse reactions to the first drug.

Correct Answer is C

Explanation

Choice A reason: While documentation and supervisor notification are crucial, immediate action involving the health care provider ensures timely response to potential adverse effects from the medication error.

Choice B reason: Relying solely on the absence of drug allergies is insufficient and may jeopardize patient safety. Errors require immediate communication and reporting for appropriate interventions.

Choice C reason: Timely provider notification prioritizes patient safety and enables corrective measures. Completing an incident report supports institutional transparency and learning to prevent future errors.

Choice D reason: Administering additional drugs risks compounding harm. The priority is addressing the initial error and ensuring patient safety without introducing further interventions.

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The nurse is to administer the patient's next dose of vancomycin at 9:30 a.m. What time will the nurse draw the patient's blood to check the trough vancomycin level?

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Naxlex Comprehensive Predictor Exams

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