A client is receiving IV vancomycin for the treatment of Clostridium difficile. The nurse understands that the client who develops flushing, tachycardia, and hypotension during the infusion of vancomycin is experiencing which of the following?
1. Ototoxicity effect
2. Superinfection
3. Red man syndrome
4. Hives.
3. Red man syndrome
Rationale:
Vancomycin inhibits cell wall synthesis and is used for serious infections. It is only effective against gram-positive bacteria, especially Staphylococcus aureus and Staphylococcus epidermidis. The nurse should infuse this medication slowly over 60 minutes or more to avoid "red man" syndrome. The syndrome is characterized by erythematous rash, flushing, tachycardia, and hypotension. Clients can become dizzy and agitated.
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Which of the following statements is inaccurate regarding effective teaching plans for home care of prenatal patients, postpartum women, and newborns?
A. Plans are based on the nurse's perceptions of what constitutes essential informa-tion. B. Plans help prevent the woman from getting conflicting information from different care providers. C. Verbal instructions can be reinforced with written instructions. D. Coordination between inpatient facility and home care providers helps prevent duplication of plans.
Which of the following differentiates community mental health from inpatient mental health care and is a primary goal of community mental health care?
A) Emphasize crisis intervention and stabilize clients receiving psychotropic medications. B) Enlist citizen participation to determine need, policy changes, and evolution of mental health programs. C) Provide appropriate care for citizens of all ages in the least restrictive settings. D) Place chronically ill clients in comfortable family-like settings.
Which of the following statements about basic values that guide decision making in community health nursing is true?
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