The nurse is caring for a patient taking vancomycin (Vancocin). Upon assessment of the patient, the nurse finds that he is experiencing flushing, rash, pruritus, and urticaria
His vital signs are: P–120, BP–92/97, T–98.9° F, and R–20. The nurse understands that these findings are consistent with
a. red man syndrome.
b. rhabdomyolysis.
c. an allergic reaction.
d. Stevens-Johnson syndrome.
ANS: A
Rapid infusion of vancomycin can cause flushing, rash, pruritus, urticaria, tachycardia, and hypotension, a collection of symptoms known as red man syndrome.
Rhabdomyolysis is not associated with the administration of vancomycin.
The patient's symptoms indicate an allergic reaction, but this is specifically red man syndrome.
The symptoms are not those of Stevens-Johnson syndrome, which manifests as blisters or sores (or both) on the lips and mucous membranes after exposure to the sun.
You might also like to view...
A 45-year-old diabetic male is experiencing erectile dysfunction. If his erectile dysfunction is caused by the nervous system, then the nurse can educate the patient that the venous blood supply to the penis is controlled by
A) sacral parasympathetic fibers. B) the hypothalamus. C) the vagus nerve. D) postganglionic sympathetic neurons.
A nurse is assisting a client at a health care facility to dangle before the client ambulates. The nurse assists the client into the Fowler's position for a few minutes. Which of the following is a possible reason for this action?
A) To maintain warmth and show respect for the client's modesty B) To allow the client to use the floor for support C) To maintain safety should the client become dizzy or faint D) To help the client tolerate the sitting position
A recreational therapist has proposed an organized program to the nurse manager of a long-term care facility that the therapist claims can significantly improve the self-concept of residents
Which of the following components of the therapist's program is most likely to achieve the stated goal? A) Bringing in a staff member's dog to regularly interact with residents. B) Organizing a series of health promotion classes for residents that will be conducted by staff nurses. C) Holding reminiscence sessions where residents are encouraged to write autobiographical life reviews. D) Beginning a chair aerobics class to increase physical activity by frail residents.
A nurse who requires continuing education units (CEUs) for license renewal is taking an online continuing education course on the Internet. What is required to be awarded CEUs?
A) Payment of the entire course fee B) Completion of the course C) Appearing for an interview D) Satisfactory completion of a test