Vancomycin Administration: Nursing Actions for Safe Infusion - A Guide for Nursing Students - 2024-2025 Edition

Blog

Account

AQA Papers & Mark Sc...

OCR PAPERS & MARK SC...

AQA GCSE COMBINED SC...

AQA GCSE QUESTION PA...

A Level & AS Level N...

Exam Elaborations

Vancomycin Administration: Nursing Actions for Safe Infusion - A Guide for Nursing Students - 2024-2025 Edition

This comprehensive guide provides nursing students with a clear understanding of essential nursing actions for administering IV Vancomycin safely and effectively. Learn about drug monitoring, adverse effects, and best practices to prevent complications. Master these concepts and ace your nursing exams on the first attempt.

Show more

Prev page Next page

Preview 3 of 58 pages

{{ realtimeViews.product }}Users are viewing this page.

1Users are checking out.

Similar titles

Vancomycin Administration: Nursing Actions for Safe Infusion - A Guide for Nursing Students - 2024-2025 Edition Cognitive Level: Application Client Needs: Safe, Effective Care Environment Nursing Process: Assessment 3. The nurse is caring for four clients on a medical–surgical unit. The secretary gives the nurse the morning labs. Which of the following labs would require that the nurse call the physician and inform the healthcare provider about the client’s abnormalities? 1. WBC 14,600 mm3 2. Serum protein 6.9 g/dL 3. I & D (incision and drainage) showing no growth for the last 24 hours 4. Albumin 4.2 g/dL Answer: 1 Rationale: When the nurse is caring for several clients, all of the labs should be checked frequently throughout the shift to assess for any abnormalities. The WBC in option 1 is abnormal. (Normal WBC 4,000–10,000 mm3 .) All of the other lab results are within acceptable range; therefore, the results should not be called in to the physician. Cognitive Level: Application Client Needs: Physiologic Integrity Nursing Process: Assessment 4. The nurse is orienting a new graduate. The nurse is reinforcing the importance of standard precautions. Which of the following observations by the nurse would require further education regarding standard precautions? 1. The graduate nurse understands to wash hands when entering and exiting the client’s room. 2. The graduate nurse wears gloves when serving breakfast trays to various clients. 3. The graduate nurse wears a gown, gloves, and goggles when suctioning a client. 4. The graduate nurse leaves all supplies in the room of a client who is in contact isolation. Answer: 2 Rationale: The nurse must have an understanding of standard precautions. Prevention is the most important measure to prevent nosocomial infections. Standard precautions were published in 1996 that provide guidelines for the handling of download full file at http://testbankinstant.com blood and other body fluids. These guidelines are used with all clients, regardless of whether they have a known infectious disease. Standard precautions are used by all healthcare workers who have direct contact with clients or with their body fluids. It is not necessary for the nurse to wear gloves while delivering food trays to the client, because there is not contact with the client. Cognitive Level: Application Client Needs: Safe, Effective Care Environment Nursing Process: Evaluation 5. The admitting department alerts the nurse on a medical–surgical unit that a client with active tuberculosis (TB) is being admitted to the unit. Which type of isolation is appropriate based on the client’s diagnosis? 1. Standard precautions 2. Airborne precautions 3. Droplet precautions 4. Contact precautions Answer: 2 In addition to handwashing and standard precautions, the nature and spread of some infectious diseases require that special techniques be used to protect uninfected clients and workers. The client with pulmonary tuberculosis will be placed in airborne precautions. The client should be placed in a private room with special ventilation that does not allow air to circulate to general hospital ventilation; a mask or special filter respirators will be used for everyone entering the room. Cognitive Level: Application Client Needs: Safe, Effective Care Environment Nursing Process: Assessment 6. A client is receiving IV vancomycin for the treatment of Clostridium difficile. The nurse understands that the client who develops flushing, tachycardia, and hypotension during the infusion of vancomycin indicates: 1. Ototoxicity effect. 2. Superinfection. 3. Red man syndrome. 4. Hives. Answer: 3 download full file at http://testbankinstant.com Rationale: Vancomycin inhibits cell wall synthesis, and is used for serious infections. It is only effective against gram-positive bacteria, especially Staphylococcus aureus and Staphylococcus epidermidis. The nurse should infuse this medication slowly over 60 minutes or more to avoid “red man” syndrome. The syndrome is characterized by erythematous rash, flushing, tachycardia, and hypotension. Clients can become dizzy and agitated. Cognitive Level: Application Client Needs: Physiological Integrity Nursing Process: Evaluation 7. The physician has ordered for the client to receive a trough blood level to evaluate the therapeutic effect of an antibiotic. The nurse understands that the trough should be ordered: 1. A few minutes before the next scheduled dose of medication. 2. 1–2 hours after the oral administration of the medication. 3. 30 minutes after the IV administration. 4. During the infusion of the antibiotic. Answer: 1 Rationale: Antibiotic peak and trough levels monitor therapeutic blood levels of the prescribed medication. The therapeutic range—the minimum and maximum blood levels at which the drug is effective—is known for a given drug. By measuring blood levels at the predicted peak (1–2 hours after oral administration, 1 hour after intramuscular administration, and 30 minutes after IV administration) and trough (usually a few minutes before the next scheduled dose), it is also possible to determine whether the drug is reaching a toxic or harmful level during therapy, increasing the likelihood of adverse effects. Cognitive Level: Application Client Needs: Safe, Effective Care Environment Nursing Process: Assessment 8. The nurse needs to change a dressing on the client’s abdomen. Which of the following techniques should be implemented? 1. Contact precautions 2. Standard precautions 3. Droplet p

$16.00

✓Verified solution by professor

✓Money Back Guarantee 24/7

✓Instant Download on Payment

Buy now Add to cart

Recommended documents

$16.00

2021-2022 NCLEX PN Questions from Previous Actual Exams - All Graded A+

$16.00

NCLEX RN Versions 1 -12 (Latest) With 850 Questions And Answers Guaranteed 100% Grade A

$16.00

2022-2023 NCLEX-PN Test Prep (Exam 1) Questions and Answers with Explanations

$16.00

2022-2023 NCLEX-PN Test Prep 2(TWO) Questions and Answers with Explanations.

$16.00

2022-2023 NCLEX-PN Test Prep Exam 3 Questions and Answers

$16.00

2022-2023 NCLEX-RN EXAM QUESTIONS AND ANSWERS - Latest Version With 100% Correct Questions With Answers

$16.00

2022-2023 NCLEX-RN EXAM QUESTIONS AND ANSWERS (LATEST VERSION)

$16.00

Fundamentals Exam 1 NCLEX Practice Questions with accurate answers, Rated A+

$16.00

2021-2022 HESI Exit RN Exam V1- V7 All Questions From Each Version Based on Real Exam

$16.00

2021-2022 HESI PN EXIT EXAM NEW PACKAGE

{{ userMessage }}