linky inky Flashcards
When a patient is on aminoglycoside therapy, the nurse will monitor the patient for which indicators of potential toxicity?
Tinnitus and dizziness
The nurse is administering a vancomycin (Vancocin) infusion. Which measure is appropriate for the nurse to implement in order to reduce complications that may occur with this drug’s administration?
Infusing the drug over at least 1 hour
Which nursing diagnosis is appropriate for a patient who has started aminoglycoside therapy?
Risk for injury (renal damage)
A patient who has been hospitalized for 2 weeks has developed a pressure ulcer that contains multidrug-resistant Staphylococcus aureus (MRSA). Which drug would the nurse expect to be chosen for therapy?
Vancomycin (Vancocin)
A patient is receiving aminoglycoside therapy and will be receiving a beta-lactam antibiotic as well. The patient asks why two antibiotics have been ordered. What is the nurse’s best response?
“The combined effect of both antibiotics is greater than each of them alone.”
The nurse is reviewing the medication orders for a patient who will be receiving gentamicin therapy. Which other medication or medication class, if ordered, would be a potential interaction concern?
Loop diuretics
The nurse checks the patient’s laboratory work prior to administering a dose of vancomycin (Vancocin) and finds that the trough vancomycin level is 24 mcg/mL. What will the nurse do next?
Hold the drug, and notify the prescriber.
A patient has been diagnosed with carbapenemase-resistant Enterobacteriaceae (CRE). The nurse expects to see orders for which drug?
Colistimethate sodium (Coly-Mycin), a polypeptide antibiotic
A 79-year-old patient is receiving a quinolone as treatment for a complicated incision infection. The nurse will monitor for which adverse effect that is associated with these drugs?
Tendonitis and tendon rupture
- The nurse is administering intravenous vancomycin (Vancocin) to a patient who has had gastrointestinal surgery. Which nursing measures are appropriate? (Select all that apply.)
Monitoring serum creatinine levels
Warning the patient that a flushed feeling or facial itching may occur
Instructing the patient to report dizziness or a feeling of fullness in the ears
Reporting a trough drug level of 24 mcg/mL and holding the drug
