“I should avoid beer, anchovies, and liver.” “I should avoid bananas, grapefruit, and oranges.” “I should avoid dairy products such as milk and ice cream.” “I should avoid red wine, dark chocolate, and aged cheeses.”
The nurse is caring for a client taking vancomycin. The nurse anticipates drawing a peak and trough on this client. Which statement regarding peak and trough levels is correct?
The peak is drawn 1 hour after the infusion, and the trough is drawn right before the next scheduled dose. The peak is drawn 2 hours after the infusion, and the trough is drawn 1 hour before the next scheduled dose. The peak should be drawn immediately after infusion, and the trough is drawn right…
The nurse is caring for a client receiving IV vancomycin. The trough level is 14 mcg/mL. The next dose is now due. What is the correct response by the nurse?
give the next dose as ordered wait 2 hours and redraw the trough wait 30 minutes and redraw the trough hold the dose and notify the health care provider
The nurse is working on the cardiac unit with a client scheduled to receive digitalis. The nurse understands that which finding is a contraindication for this medication?
AV block atrial flutter atrial fibrillation sick sinus syndrome Wolff-Parkinson-White syndrome
The nurse is caring for a client with chronic kidney failure who is receiving Epoetin alfa. The nurse understands which statement to be true regarding this medication?
Side effects include joint pain and hypotension. It stimulates the production of white blood cells. Side effects include bloody urine and headaches. It is given once a week either via the IM route or subcutaneously.
The nurse is observing a student nurse administer a client’s medications via a nasogastric (NG) tube. The nurse understands that the student nurse needs further teach if the student nurse performs which action?
aspirates and checks the residual places client in the semi-Fowler’s position verifies that the medications may be given via NG tube stops the tube feeding before medication administration flushes tubing with 15 – 30 cc of water after administering meds
The nurse is caring for a client receiving pantoprazole. The nurse understands that long-term use of proton pump inhibitors increases the risk of which serious side effects?
nausea depression constipation rhabdomyolysis long bone fractures
The nurse is caring for a client receiving theophylline for asthma. In reviewing client labs, the nurse understands that the dose is therapeutic when the drug level is at what concentration?
0.8 – 2 mcg/L 10 – 20 mg/L 10 – 20 mcg/mL 0.8 – 12 mmol/L
A client with sleep apnea complains of leg cramps that wake him from sleep. Which instruction should the nurse provide?
drink a glass of water at bedtime wear compression hose at night elevate the head of the bed at night dorsiflex the foot
The nurse recognizes that if eaten by a client, which food can alter results when stool is checked for occult blood?
potatoes dairy products raw fruits beef