What should be done if a patient on vancomycin exhibits a flushing redness of the neck and upper body?
A. Slow the IV drip rate.
B. Immediately discontinue the drug and administer antidote for overdose.
C. Immediately discontinue the drug and change to another antibiotic.
D. Increase the IV drip rate.
Answer: A
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When working with a client who has just been diagnosed with trichomoniasis, the nurse will most need to educate the client about which of the following?
1. Effective methods for reducing discomfort 2. Concurrent treatment of sexual partner(s) 3. Not douching for at least one hour after treatment 4. Avoiding sexual contact until after treatment completed
A client is suspected of sepsis from a postsurgical incision infection. What characteristic of sepsis would the nurse recognize? Select all that apply
A) Temperature of 102° F B) Heart rate of 120 beats/minute C) Respiratory rate of 24 breaths/minute D) PaCO2 of 42 mm Hg E) Blood pressure of 120/80 mm Hg
The nurse provides fluid replacement for a patient with burns on 35% of his body. It has been 12 hours since the burns occurred. His blood pressure is 85/60 mm Hg, pulse 124 beats/minute, and urine output 25 mL during the past hour
What orders should the nurse expect to receive from the physician? A) Maintain IV fluids at the present rate, and continue to reassess vital signs and urine output hourly. B) Increase the IV rate, and continue to reassess vital signs and urine output hourly. C) Decrease the IV rate, and continue to reassess vital signs and urine output hourly. D) Administer a vasoconstrictor, and reassess vital signs and urine output hourly.
An infant is diagnosed with infantile glaucoma. When developing the plan of care for the infant, the nurse would expect to prepare the infant and family for which of the following?
A) Goniotomy B) Antibiotic therapy C) Contact lenses D) Patching of affected eye