A patient is diagnosed with an infection caused by Staphylococcus aureus, and the prescriber orders intravenous gentamicin and penicillin (PCN). Both drugs will be given twice daily. What will the nurse do?
a. Administer gentamicin, flush the line, and then give the penicillin.
b. Give the gentamicin intravenously and the penicillin intramuscularly.
c. Infuse the gentamicin and the penicillin together to prevent fluid overload.
d. Request an order to change the penicillin to vancomycin.
A
Gentamicin should not be infused with penicillins in the same solution, because PCN inactivates gentamicin; therefore, the nurse should give one first, flush the line, and then give the other. The nurse cannot give a drug IM when it is ordered IV without an order from the prescriber. These two drugs should not be infused in the same solution. There is no indication for changing the PCN to vancomycin; that should be done for serious infections.
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A) True B) False
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