A patient admitted with an infected below-the-knee amputation (BKA) and heart failure (HF) is taking vancomycin (Vancocin) and furosemide (Lasix). Which of the following is the most im-portant instruction the nurse should provide?
a. Report any ringing in the ears or dizziness.
b. Report frequent nocturia.
c. Elevate the affected extremity.
d. Keep the head of the bed at 30 degrees.
A
Both vancomycin and furosemide are ototoxic; therefore the patient should be instructed to noti-fy the nurse of any ringing in the ears (tinnitus) and/or dizziness.
Nocturia is expected with administration of furosemide, depending on the time of day the drug is administered.
Elevating the extremity is important, but it is not the most important issue in this case.
Elevating the head of the bed to 30 degrees may be good for a patient with HF, but it is not the most important issue in this case.
You might also like to view...
What is the most common method of attempted suicide?
a. Hanging b. Medication ingestion c. Gunshot d. Slashing the wrists
The benefits of telehealth include that it: (Select all that apply.)
a. promotes self-management of illness in rural and underserved areas. b. facilitates remote physical assessment and monitoring of chronic conditions. c. decreases costs by replacing the role of the nurse with technology. d. decreases costs by reducing hospital re-admissions. e. is reimbursed by all health care insurances.
The nurse is caring for a rehabilitation client. Which activity plan should the nurse implement to best conserve a client's energy without compromising physical or mental health?
a. Reduce hygiene activities and restrict vis-itors. b. Ensure that the client toilets before and after planned activities. c. Schedule energy-intensive activities when energy levels are high. d. Schedule as many activities as possible in a small block of time.
Law enforcement authorities have notified the emergency department that several people who have been exposed to nerve gas will be arriving
The nurse manager alerts the department nursing staff to expect patients with which assessment findings? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Muscle pain 2. Flaccid paralysis 3. Shortness of breath 4. Miosis 5. Rhinorrhea