The nurse is administering intravenous vancomycin (Vancocin) to a patient who has had gastrointestinal surgery. Which nursing measures are appropriate?

(Select all that apply.)
a. Monitoring serum creatinine levels
b. Restricting fluids while the patient is on this medication
c. Warning the patient that a flushed feeling or facial itching may occur
d. Instructing the patient to report dizziness or a feeling of fullness in the ears
e. Reporting a trough drug level of 11 mcg/mL and holding the drug
f. Reporting a trough drug level of 24 mcg/mL and holding the drug


ANS: A, C, D, F

Nursing

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