A client has methicillin-resistant Staphylococcus aureus (MRSA) and is receiving vancomycin (Vancocin) 500 mg IV every 6 hours. What is an important nursing intervention related to this drug?
a. Administering it over 30 minutes using an IV pump
b. Giving the client diphenhydramine (Be-nadryl) before the drug
c. Assessing the IV site at least every 2 hours for thrombophlebitis
d. Ensuring that the client has increased oral intake during therapy
C
Vancomycin is very irritating to the veins and can easily cause thrombophlebitis. This drug is given over at least 60 minutes; although it can cause histamine release (leading to "red man syn-drome"), it is not customary to administer diphenhydramine before starting the infusion. In-creasing oral intake is not specific to vancomycin therapy.
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A client who has been undergoing treatment for chronic back pain has been considering complementary and alternative therapies to manage the pain. The nurse has assessed the client's needs and discussed the use of available methods with the client
Which client statement indicates the need for further instruction? A) "Caution is needed with alternative therapies, as they have not been tested by the FDA." B) "Chondroitin sulfate is a dietary supplement that I can get over the counter." C) "Glucosamine sulfate is a medication that must be prescribed by my physician." D) "I may have some stomach upset associated with glucosamine sulfate."
A nurse is reviewing a patient's medications and realizes that gemfibrozil [Lopid] and warfarin [Coumadin] are to be administered concomitantly. Which effect will the nurse anticipate in this patient?
a. Increased levels of gemfibrozil b. Decreased levels of gemfibrozil c. Increased anticoagulant effects d. Reduced anticoagulant effects
Following delivery, a client feels the urge to void but is unable to do so after an
extended period of time. What immediate action should the nurse take? A) Report it to the practitioner B) Catheterize the bladder C) Apply suprapubic pressure D) Reassure the client
Compute the amount of medication you will give to administer one dose of the following orders. Assume all tablets are scored, when necessary
? The problems and drug orders are presented for practice only, and actual prescribed dosages will vary according to a patient's age, condition, reaction, additional medications, and other factors. Order: potassium chloride 30 mEq p.o. b.i.d Supply: Package containing 15 mL of potassium chloride oral solution 10%, 20 mEq per 15 mL. Give: __________ mL Fill in the blank(s) with correct word