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Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

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250 questions, answers, and explanations are offered in this sample exam from the 2013 edition of NCLEX-RN Exam Cram.

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  • A 43-year-old African American male is admitted with sickle cell anemia. The nurse plans to assess circulation in the lower extremities every two hours. Which of the following outcome criteria would the nurse use?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Body temperature of 99°F or less

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Toes moved in active range of motion

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Sensation reported when soles of feet are touched

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Capillary refill of < 3 seconds

    Quick Answer: 223

    Detailed Answer: 225

  • A 30-year-old male from Haiti is brought to the emergency department in sickle cell crisis. What is the best position for this client?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Side-lying with knees flexed

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Knee-chest

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    High Fowler’s with knees flexed

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Semi-Fowler’s with legs extended on the bed

    Quick Answer: 223

    Detailed Answer: 225

  • A 25-year-old male is admitted in sickle cell crisis. Which of the following interventions would be of highest priority for this client?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Taking hourly blood pressures with mechanical cuff

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Encouraging fluid intake of at least 200mL per hour

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Position in high Fowler’s with knee gatch raised

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Administering Tylenol as ordered

    Quick Answer: 223

    Detailed Answer: 225

  • Which of the following foods would the nurse encourage the client in sickle cell crisis to eat?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Steak

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Cottage cheese

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Popsicle

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Lima beans

    Quick Answer: 223

    Detailed Answer: 225

  • A newly admitted client has sickle cell crisis. He is complaining of pain in his feet and hands. The nurse’s assessment findings include a pulse oximetry of 92. Assuming that all the following interventions are ordered, which should be done first?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Adjust the room temperature

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Give a bolus of IV fluids

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Start O2

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Administer meperidine (Demerol) 75mg IV push

    Quick Answer: 223

    Detailed Answer: 225

  • The nurse is instructing a client with iron-deficiency anemia. Which of the following meal plans would the nurse expect the client to select?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Roast beef, gelatin salad, green beans, and peach pie

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Chicken salad sandwich, coleslaw, French fries, ice cream

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Egg salad on wheat bread, carrot sticks, lettuce salad, raisin pie

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Pork chop, creamed potatoes, corn, and coconut cake

    Quick Answer: 223

    Detailed Answer: 225

  • Clients with sickle cell anemia are taught to avoid activities that cause hypoxia and hypoxemia. Which of the following activities would the nurse recommend?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    A family vacation in the Rocky Mountains

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Chaperoning the local boys club on a snow-skiing trip

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Traveling by airplane for business trips

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    A bus trip to the Museum of Natural History

    Quick Answer: 223

    Detailed Answer: 225

  • The nurse is conducting an admission assessment of a client with vitamin B12 deficiency. Which finding reinforces the diagnosis of B12 deficiency?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Enlarged spleen

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Elevated blood pressure

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Bradycardia

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Beefy tongue

    Quick Answer: 223

    Detailed Answer: 225

  • The body part that would most likely display jaundice in the dark-skinned individual is the:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Conjunctiva of the eye

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Soles of the feet

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Roof of the mouth

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Shins

    Quick Answer: 223

    Detailed Answer: 225

  • The nurse is conducting a physical assessment on a client with anemia. Which of the following clinical manifestations would be most indicative of the anemia?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    BP 146/88

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Respirations 28 shallow

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Weight gain of 10 pounds in six months

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Pink complexion

    Quick Answer: 223

    Detailed Answer: 226

  • The nurse is teaching the client with polycythemia vera about prevention of complications of the disease. Which of the following statements by the client indicates a need for further teaching?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    “I will drink 500mL of fluid or less each day.”

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    “I will wear support hose.”

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    “I will check my blood pressure regularly.”

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    “I will report ankle edema.”

    Quick Answer: 223

    Detailed Answer: 226

  • A 33-year-old male is being evaluated for possible acute leukemia. Which of the following findings is most likely related to the diagnosis of leukemia?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    The client collects stamps as a hobby.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    The client recently lost his job as a postal worker.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    The client had radiation for treatment of Hodgkin’s disease as a teenager.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    The client’s brother had leukemia as a child.

    Quick Answer: 223

    Detailed Answer: 226

  • Where is the best site for examining for the presence of petechiae in an African American client?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    The abdomen

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    The thorax

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    The earlobes

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    The soles of the feet

    Quick Answer: 223

    Detailed Answer: 226

  • The client is being evaluated for possible acute leukemia. Which inquiry by the nurse is most important?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    “Have you noticed a change in sleeping habits recently?”

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    “Have you had a respiratory infection in the last six months?”

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    “Have you lost weight recently?”

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    “Have you noticed changes in your alertness?”

    Quick Answer: 223

    Detailed Answer: 226

  • Which of the following would be the priority nursing diagnosis for the adult client with acute leukemia?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Oral mucous membrane, altered related to chemo-therapy

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Risk for injury related to thrombocytopenia

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Fatigue related to the disease process

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Interrupted family processes related to life-threatening illness of a family member

    Quick Answer: 223

    Detailed Answer: 226

  • A 21-year-old male with Hodgkin’s lymphoma is a senior at the local university. He is engaged to be married and is to begin a new job upon graduation. Which of the following diagnoses would be a priority for this client?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Sexual dysfunction related to radiation therapy

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Anticipatory grieving related to terminal illness

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Tissue integrity related to prolonged bed rest

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Fatigue related to chemotherapy

    Quick Answer: 223

    Detailed Answer: 226

  • A client has autoimmune thrombocytopenic purpura. To determine the client’s response to treatment, the nurse would monitor:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Platelet count

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    White blood cell count

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Potassium levels

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Partial prothrombin time (PTT)

    Quick Answer: 223

    Detailed Answer: 226

  • The home health nurse is visiting a client with autoimmune thrombocytopenic purpura (ATP). The client’s platelet count currently is 80,000. It will be most important to teach the client and family about:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Bleeding precautions

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Prevention of falls

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Oxygen therapy

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Conservation of energy

    Quick Answer: 223

    Detailed Answer: 226

  • The client has surgery for removal of a Prolactinoma. Which of the following interventions would be appropriate for this client?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Place the client in Trendelenburg position for postural drainage.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Encourage coughing and deep breathing every two hours.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Elevate the head of the bed 30°.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Encourage the Valsalva maneuver for bowel movements.

    Quick Answer: 223

    Detailed Answer: 226

  • The client with a history of diabetes insipidus is admitted with polyuria, polydipsia, and mental confusion. The priority intervention for this client is:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Measure the urinary output.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Check the vital signs.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Encourage increased fluid intake.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Weigh the client.

    Quick Answer: 223

    Detailed Answer: 227

  • A client with hemophilia has a nosebleed. Which nursing action is most appropriate to control the bleeding?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Place the client in a sitting position.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Administer acetaminophen (Tylenol).

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Pinch the soft lower part of the nose.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Apply ice packs to the forehead.

    Quick Answer: 223

    Detailed Answer: 227

  • A client has had a unilateral adrenalectomy to remove a tumor. The most important measurement in the immediate post-operative period for the nurse to take is:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    The blood pressure

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    The temperature

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    The urinary output

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    The specific gravity of the urine

    Quick Answer: 223

    Detailed Answer: 227

  • A client with Addison’s disease has been admitted with a history of nausea and vomiting for the past three days. The client is receiving IV glucocorticoids (Solu-Medrol). Which of the following interventions would the nurse implement?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Glucometer readings as ordered

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Intake/output measurements

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Evaluating the sodium and potassium levels

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Daily weights

    Quick Answer: 223

    Detailed Answer: 227

  • A client had a total thyroidectomy yesterday. The client is complaining of tingling around the mouth and in the fingers and toes. What would the nurses’ next action be?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Obtain a crash cart.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Check the calcium level.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Assess the dressing for drainage.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Assess the blood pressure for hypertension.

    Quick Answer: 223

    Detailed Answer: 227

  • A 32-year-old mother of three is brought to the clinic. Her pulse is 52, there is a weight gain of 30 pounds in four months, and the client is wearing two sweaters. The client is diagnosed with hypothyroidism. Which of the following nursing diagnoses is of highest priority?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Impaired physical mobility related to decreased endurance

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Hypothermia r/t decreased metabolic rate

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Disturbed thought processes r/t interstitial edema

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Decreased cardiac output r/t bradycardia

    Quick Answer: 223

    Detailed Answer: 227

  • The client presents to the clinic with a serum cholesterol of 275mg/dL and is placed on rosuvastatin (Crestor). Which instruction should be given to the client taking rosuvastatin (Crestor)?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Report muscle weakness to the physician.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Allow six months for the drug to take effect.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Take the medication with fruit juice.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Report difficulty sleeping.

    Quick Answer: 223

    Detailed Answer: 227

  • The client is admitted to the hospital with hypertensive crises. Diazoxide (Hyperstat) is ordered. During administration, the nurse should:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Utilize an infusion pump.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Check the blood glucose level.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Place the client in Trendelenburg position.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Cover the solution with foil.

    Quick Answer: 223

    Detailed Answer: 227

  • The six-month-old client with a ventral septal defect is receiving Digitalis for regulation of his heart rate. Which finding should be reported to the doctor?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Blood pressure of 126/80

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Blood glucose of 110mg/dL

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Heart rate of 60bpm

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Respiratory rate of 30 per minute

    Quick Answer: 223

    Detailed Answer: 227

  • The client admitted with angina is given a prescription for nitroglycerine. The client should be instructed to:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Replenish his supply every three months.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Take one every 15 minutes if pain occurs.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Leave the medication in the brown bottle.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Crush the medication and take with water.

    Quick Answer: 223

    Detailed Answer: 228

  • The client is instructed regarding foods that are low in fat and cholesterol. Which diet selection is lowest in saturated fats?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Macaroni and cheese

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Shrimp with rice

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Turkey breast

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Spaghetti with meat sauce

    Quick Answer: 223

    Detailed Answer: 228

  • The client is admitted with left-sided congestive heart failure. In assessing the client for edema, the nurse should check the:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Feet

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Neck

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Hands

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Sacrum

    Quick Answer: 223

    Detailed Answer: 228

  • The nurse is checking the client’s central venous pressure. The nurse should place the zero of the manometer at the:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Phlebostatic axis

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    PMI

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Erb’s point

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Tail of Spence

    Quick Answer: 223

    Detailed Answer: 228

  • The physician orders lisinopril (Zestril) and furosemide (Lasix) to be administered concomitantly to the client with hypertension. The nurse should:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Question the order.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Administer the medications.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Administer separately.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Contact the pharmacy.

    Quick Answer: 223

    Detailed Answer: 228

  • The best method of evaluating the amount of peripheral edema is:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Weighing the client daily

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Measuring the extremity

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Measuring the intake and output

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Checking for pitting

    Quick Answer: 223

    Detailed Answer: 228

  • A client with vaginal cancer is being treated with a radioactive vaginal implant. The client’s husband asks the nurse if he can spend the night with his wife. The nurse should explain that:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Overnight stays by family members is against hospital policy.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    There is no need for him to stay because staffing is adequate.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    His wife will rest much better knowing that he is at home.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Visitation is limited to 30 minutes when the implant is in place.

    Quick Answer: 223

    Detailed Answer: 228

  • The nurse is caring for a client hospitalized with a facial stroke. Which diet selection would be suited to the client?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Roast beef sandwich, potato chips, pickle spear, iced tea

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Split pea soup, mashed potatoes, pudding, milk

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Tomato soup, cheese toast, Jello, coffee

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Hamburger, baked beans, fruit cup, iced tea

    Quick Answer: 223

    Detailed Answer: 228

  • The physician has prescribed Novalog insulin for a client with diabetes mellitus. Which statement indicates that the client knows when the peak action of the insulin occurs?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    “I will make sure I eat breakfast within 10 minutes of taking my insulin.”

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    “I will need to carry candy or some form of sugar with me all the time.”

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    “I will eat a snack around three o’clock each afternoon.”

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    “I can save my dessert from supper for a bedtime snack.”

    Quick Answer: 223

    Detailed Answer: 229

  • The nurse is teaching basic infant care to a group of first-time parents. The nurse should explain that a sponge bath is recommended for the first two weeks of life because:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    New parents need time to learn how to hold the baby.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    The umbilical cord needs time to separate.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Newborn skin is easily traumatized by washing.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    The chance of chilling the baby outweighs the benefits of bathing.

    Quick Answer: 223

    Detailed Answer: 229

  • A client with leukemia is receiving Trimetrexate. After reviewing the client’s chart, the physician orders Wellcovorin (leucovorin calcium). The rationale for administering leucovorin calcium to a client receiving Trimetrexate is to:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Treat iron-deficiency anemia caused by chemotherapeutic agents

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Create a synergistic effect that shortens treatment time

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Increase the number of circulating neutrophils

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Reverse drug toxicity and prevent tissue damage

    Quick Answer: 223

    Detailed Answer: 229

  • A four-month-old is brought to the well-baby clinic for immunization. In addition to the DPT and polio vaccines, the baby should receive:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Hib titer

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Mumps vaccine

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Hepatitis B vaccine

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    MMR

    Quick Answer: 223

    Detailed Answer: 229

  • The physician has prescribed Nexium (esomeprazole) for a client with erosive gastritis. The nurse should administer the medication:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    30 minutes before a meal

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    With each meal

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    In a single dose at bedtime

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    30 minutes after meals

    Quick Answer: 223

    Detailed Answer: 229

  • A client on the psychiatric unit is in an uncontrolled rage and is threatening other clients and staff. What is the most appropriate action for the nurse to take?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Call security for assistance and prepare to sedate the client.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Tell the client to calm down and ask him if he would like to play cards.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Tell the client that if he continues his behavior he will be punished.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Leave the client alone until he calms down.

    Quick Answer: 223

    Detailed Answer: 229

  • When the nurse checks the fundus of a client on the first postpartum day, she notes that the fundus is firm, is at the level of the umbilicus, and is displaced to the right. The next action the nurse should take is to:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Check the client for bladder distention.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Assess the blood pressure for hypotension.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Determine whether an oxytocic drug was given.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Check for the expulsion of small clots.

    Quick Answer: 223

    Detailed Answer: 229

  • A client is admitted to the hospital with a temperature of 99.8°F, complaints of blood-tinged hemoptysis, fatigue, and night sweats. The client’s symptoms are consistent with a diagnosis of:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Pneumonia

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Reaction to antiviral medication

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Tuberculosis

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Superinfection due to low CD4 count

    Quick Answer: 223

    Detailed Answer: 229

  • The client is seen in the clinic for treatment of migraine headaches. The drug Imitrex (sumatriptan succinate) is prescribed for the client. Which of the following in the client’s history should be reported to the doctor?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Diabetes

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Prinzmetal’s angina

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Cancer

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Cluster headaches

    Quick Answer: 223

    Detailed Answer: 229

  • The client with suspected meningitis is admitted to the unit. The doctor is performing an assessment to determine meningeal irritation and spinal nerve root inflammation. A positive Kernig’s sign is charted if the nurse notes:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Pain on flexion of the hip and knee

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Nuchal rigidity on flexion of the neck

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Pain when the head is turned to the left side

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Dizziness when changing positions

    Quick Answer: 223

    Detailed Answer: 229

  • The client with Alzheimer’s disease is being assisted with activities of daily living when the nurse notes that the client uses her toothbrush to brush her hair. The nurse is aware that the client is exhibiting:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Agnosia

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Apraxia

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Anomia

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Aphasia

    Quick Answer: 223

    Detailed Answer: 229

  • The client with dementia is experiencing confusion late in the afternoon and before bedtime. The nurse is aware that the client is experiencing what is known as:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Chronic fatigue syndrome

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Normal aging

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Sundowning

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Delusions

    Quick Answer: 223

    Detailed Answer: 230

  • The client with confusion says to the nurse, “I haven’t had anything to eat all day long. When are they going to bring breakfast?” The nurse saw the client in the day room eating breakfast with other clients 30 minutes before this conversation. Which response would be best for the nurse to make?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    “You know you had breakfast 30 minutes ago.”

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    “I am so sorry that they didn’t get you breakfast. I’ll report it to the charge nurse.”

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    “I’ll get you some juice and toast. Would you like something else?”

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    “You will have to wait a while; lunch will be here in a little while.”

    Quick Answer: 223

    Detailed Answer: 230

  • The doctor has prescribed Exelon (rivastigmine) for the client with Alzheimer’s disease. Which side effect is most often associated with this drug?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Urinary incontinence

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Headaches

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Confusion

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Nausea

    Quick Answer: 223

    Detailed Answer: 230

  • A client is admitted to the labor and delivery unit in active labor. During examination, the nurse notes a papular lesion on the perineum. Which initial action is most appropriate?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Document the finding.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Report the finding to the doctor.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Prepare the client for a C-section.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Continue primary care as prescribed.

    Quick Answer: 223

    Detailed Answer: 230

  • A client with a diagnosis of HPV is at risk for which of the following?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Hodgkin’s lymphoma

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Cervical cancer

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Multiple myeloma

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Ovarian cancer

    Quick Answer: 223

    Detailed Answer: 230

  • During the initial interview, the client reports that she has a lesion on the perineum. Further investigation reveals a small blister on the vulva that is painful to touch. The nurse is aware that the most likely source of the lesion is:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Syphilis

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Herpes

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Gonorrhea

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Condylomata

    Quick Answer: 223

    Detailed Answer: 230

  • A client visiting a family planning clinic is suspected of having an STI. The best diagnostic test for treponema pallidum is:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Venereal Disease Research Lab (VDRL)

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Rapid plasma reagin (RPR)

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Fluorescent treponemal antibody (FTA)

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Thayer-Martin culture (TMC)

    Quick Answer: 223

    Detailed Answer: 230

  • A 15-year-old primigravida is admitted with a tentative diagnosis of HELLP syndrome. Which laboratory finding is associated with HELLP syndrome?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Elevated blood glucose

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Elevated platelet count

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Elevated creatinine clearance

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Elevated hepatic enzymes

    Quick Answer: 223

    Detailed Answer: 230

  • The nurse is assessing the deep tendon reflexes of a client with preeclampsia. Which method is used to elicit the biceps reflex?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    The nurse places her thumb on the muscle inset in the antecubital space and taps the thumb briskly with the reflex hammer.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    The nurse loosely suspends the client’s arm in an open hand while tapping the back of the client’s elbow.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    The nurse instructs the client to dangle her legs as the nurse strikes the area below the patella with the blunt side of the reflex hammer.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    The nurse instructs the client to place her arms loosely at her side as the nurse strikes the muscle insert just above the wrist.

    Quick Answer: 223

    Detailed Answer: 230

  • A primigravida with diabetes is admitted to the labor and delivery unit at 34 weeks gestation. Which doctor’s order should the nurse question?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Magnesium sulfate 4gm (25%) IV

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Brethine 10mcg IV

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Stadol 1mg IV push every 4 hours as needed prn for pain

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Ancef 2gm IVPB every 6 hours

    Quick Answer: 223

    Detailed Answer: 230

  • A diabetic multigravida is scheduled for an amniocentesis at 32 weeks gestation to determine the L/S ratio and phosphatidyl glycerol level. The L/S ratio is 1:1 and the presence of phosphatidylglycerol is noted. The nurse’s assessment of this data is:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    The infant is at low risk for congenital anomalies.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    The infant is at high risk for intrauterine growth retardation.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    The infant is at high risk for respiratory distress syndrome.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    The infant is at high risk for birth trauma.

    Quick Answer: 223

    Detailed Answer: 231

  • Which observation in the newborn of a diabetic mother would require immediate nursing intervention?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Crying

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Wakefulness

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Jitteriness

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Yawning

    Quick Answer: 223

    Detailed Answer: 231

  • The nurse caring for a client receiving intravenous magnesium sulfate must closely observe for side effects associated with drug therapy. An expected side effect of magnesium sulfate is:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Decreased urinary output

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Hypersomnolence

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Absence of knee jerk reflex

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Decreased respiratory rate

    Quick Answer: 223

    Detailed Answer: 231

  • The client has elected to have epidural anesthesia to relieve labor pain. If the client experiences hypotension, the nurse would:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Place her in Trendelenburg position.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Decrease the rate of IV infusion.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Administer oxygen per nasal cannula.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Increase the rate of the IV infusion.

    Quick Answer: 223

    Detailed Answer: 231

  • A client has cancer of the pancreas. The nurse should be most concerned about which nursing diagnosis?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Alteration in nutrition

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Alteration in bowel elimination

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Alteration in skin integrity

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Ineffective individual coping

    Quick Answer: 223

    Detailed Answer: 231

  • The nurse is caring for a client with uremic frost. The nurse is aware that uremic frost is often seen in clients with:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Severe anemia

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Arteriosclerosis

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Liver failure

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Parathyroid disorder

    Quick Answer: 223

    Detailed Answer: 231

  • The client arrives in the emergency department after a motor vehicle accident. Nursing assessment findings include BP 80/34, pulse rate 120, and respirations 20. Which is the client’s most appropriate priority nursing diagnosis?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Alteration in cerebral tissue perfusion

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Fluid volume deficit

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Ineffective airway clearance

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Alteration in sensory perception

    Quick Answer: 223

    Detailed Answer: 231

  • The home health nurse is visiting an 18-year-old with osteogenesis imperfecta. Which information obtained on the visit would cause the most concern? The client:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Likes to play football

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Drinks carbonated drinks

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Has two sisters

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Is taking acetaminophen for pain

    Quick Answer: 223

    Detailed Answer: 231

  • The nurse working the organ transplant unit is caring for a client with a white blood cell count of 450. During evening visitation, a visitor brings a basket of fruit. What action should the nurse take?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Allow the client to keep the fruit.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Place the fruit next to the bed for easy access by the client.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Offer to wash the fruit for the client.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Ask the family members to take the fruit home.

    Quick Answer: 223

    Detailed Answer: 231

  • The nurse is caring for the client following a laryngectomy when suddenly the client becomes nonresponsive and pale, with a BP of 90/40. The initial nurse’s action should be to:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Place the client in Trendelenburg position.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Increase the infusion of normal saline.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Administer atropine intravenously.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Move the emergency cart to the bedside.

    Quick Answer: 223

    Detailed Answer: 231

  • The client admitted two days earlier with a lung resection accidentally pulls out the chest tube. Which action by the nurse indicates understanding of the management of chest tubes?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Order a chest x-ray.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Reinsert the tube.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Cover the insertion site with a Vaseline gauze.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Call the doctor.

    Quick Answer: 223

    Detailed Answer: 231

  • A client being treated with sodium warfarin (Coumadin) has a Protime of 120 seconds. Which intervention would be most important to include in the nursing care plan?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Assess for signs of abnormal bleeding.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Anticipate an increase in the Coumadin dosage.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Instruct the client regarding the drug therapy.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Increase the frequency of neurological assessments.

    Quick Answer: 223

    Detailed Answer: 231

  • Which selection would provide the most calcium for the client who is four months pregnant?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    A granola bar

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    A bran muffin

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    A cup of yogurt

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    A glass of fruit juice

    Quick Answer: 223

    Detailed Answer: 232

  • The client with preeclampsia is admitted to the unit with an order for magnesium sulfate. Which action by the nurse indicates the understanding of magnesium toxicity?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    The nurse performs a vaginal exam every 30 minutes.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    The nurse places a padded tongue blade at the bedside.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    The nurse inserts a Foley catheter.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    The nurse darkens the room.

    Quick Answer: 223

    Detailed Answer: 232

  • The best size cathlon for administration of a blood transfusion to a six-year-old is:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    18 gauge

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    19 gauge

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    22 gauge

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    20 gauge

    Quick Answer: 223

    Detailed Answer: 232

  • A client is admitted to the unit two hours after an explosion causes burns to the face. The nurse would be most concerned with the client developing which of the following?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Hypovolemia

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Laryngeal edema

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Hypernatremia

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Hyperkalemia

    Quick Answer: 223

    Detailed Answer: 232

  • The client has recently been diagnosed with diabetes. Which of the following indicates understanding of the management of diabetes?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    The client selects a balanced diet from the menu.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    The client can tell the nurse the normal blood glucose level.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    The client asks for brochures on the subject of diabetes.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    The client demonstrates correct insulin injection technique.

    Quick Answer: 223

    Detailed Answer: 232

  • The client is admitted following cast application for a fractured ulna. Which finding should be reported to the doctor?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Pain at the site

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Warm fingers

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Pulses rapid

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Paresthesia of the fingers

    Quick Answer: 223

    Detailed Answer: 232

  • The client with AIDS should be taught to:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Avoid warm climates.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Refrain from taking herbals.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Avoid exercising.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Report any changes in skin color.

    Quick Answer: 223

    Detailed Answer: 232

  • Which action by the healthcare worker indicates a need for further teaching?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    The nursing assistant ambulates the elderly client using a gait belt.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    The nurse wears goggles while performing a veno-puncture.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    The nurse washes his hands after changing a dressing.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    The nurse wears gloves to monitor the IV infusion rate.

    Quick Answer: 223

    Detailed Answer: 232

  • The client is having electroconvulsive therapy for treatment of severe depression. Prior to the ECT, the nurse should:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Apply a tourniquet to the client’s arm.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Administer an anticonvulsant medication.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Ask the client if he is allergic to shellfish.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Apply a blood pressure cuff to the arm.

    Quick Answer: 223

    Detailed Answer: 232

  • The five-year-old is being tested for enterobiasis (pinworms). Which symptom is associated with enterobiasis?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Rectal itching

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Nausea

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Oral ulcerations

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Scalp itching

    Quick Answer: 223

    Detailed Answer: 232

  • The nurse is teaching the mother regarding treatment for pedicalosis capitis. Which instruction should be given regarding the medication?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Treatment is not recommended for children less than 10 years of age.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Bed linens should be washed in hot water.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Medication therapy will continue for one year.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Intravenous antibiotic therapy will be ordered.

    Quick Answer: 223

    Detailed Answer: 232

  • The registered nurse is making assignments for the day. Which client should be assigned to the pregnant nurse?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    The client with HIV

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    The client with a radium implant for cervical cancer

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    The client with RSV (respiratory synctial virus)

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    The client with cytomegalovirus

    Quick Answer: 223

    Detailed Answer: 232

  • The nurse is planning room assignments for the day. Which client should be assigned to a private room if only one is available?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    The client with methicillin resistant-staphylococcus aureas (MRSA)

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    The client with diabetes

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    The client with pancreatitis

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    The client with Addison’s disease

    Quick Answer: 223

    Detailed Answer: 232

  • The doctor accidentally cuts the bowel during surgery. As a result of this action, the client develops an infection and suffers brain damage. The doctor can be charged with:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Negligence

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Tort

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Assault

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Malpractice

    Quick Answer: 223

    Detailed Answer: 233

  • Which assignment should not be performed by the nursing assistant?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Feeding the client

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Bathing the client

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Obtaining a stool

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Administering a fleet enema

    Quick Answer: 223

    Detailed Answer: 233

  • The mother calls the clinic to report that her newborn has a rash on his forehead and face. Which action is most appropriate?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Tell the mother to wash the face with soap and apply powder.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Tell her that 30% of newborns have a rash that will go away by one month of life.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Report the rash to the doctor immediately.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Ask the mother if anyone else in the family has had a rash in the last six months.

    Quick Answer: 223

    Detailed Answer: 233

  • Which nurse should not be assigned to care for the client with a radium implant for vaginal cancer?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    The LPN who is six months postpartum

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    The RN who is pregnant

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    The RN who is allergic to iodine

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    The RN with a three-year-old at home

    Quick Answer: 223

    Detailed Answer: 233

  • Which information should be reported to the state Board of Nursing?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    The facility fails to provide literature in both Spanish and English.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    The narcotic count has been incorrect on the unit for the past three days.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    The client fails to receive an itemized account of his bills and services received during his hospital stay.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    The nursing assistant assigned to the client with hepatitis fails to feed the client and give the bath.

    Quick Answer: 223

    Detailed Answer: 233

  • The nurse is suspected of charting medication administration that he did not give. After talking to the nurse, the charge nurse should:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Call the Board of Nursing.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    File a formal reprimand.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Terminate the nurse.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Charge the nurse with a tort.

    Quick Answer: 223

    Detailed Answer: 233

  • The home health nurse is planning for the day’s visits. Which client should be seen first?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    The 78-year-old who had a gastrectomy three weeks ago and has a PEG tube

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    The five-month-old discharged one week ago with pneumonia who is being treated with amoxicillin liquid suspension

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    The 50-year-old with MRSA being treated with Vancomycin via a PICC line

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    The 30-year-old with an exacerbation of multiple sclerosis being treated with cortisone via a centrally placed venous catheter

    Quick Answer: 223

    Detailed Answer: 233

  • The emergency room is flooded with clients injured in a tornado. Which clients can be assigned to share a room in the emergency department during the disaster?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    A client having auditory hallucinations and the client with ulcerative colitis

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    The client who is pregnant and the client with a broken arm

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    A child who is cyanotic with severe dypsnea and a client with a frontal head injury

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    The client who arrives with a large puncture wound to the abdomen and the client with chest pain

    Quick Answer: 223

    Detailed Answer: 233

  • Before administering eardrops to a toddler, the nurse should recognize that it is essential to consider which of the following?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    The age of the child

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    The child’s weight

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    The developmental level of the child

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    The IQ of the child

    Quick Answer: 223

    Detailed Answer: 233

  • The nurse is discussing meal planning with the mother of a two-year-old. Which of the following statements, if made by the mother, would require a need for further instruction?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    “It is okay to give my child white grape juice for breakfast.”

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    “My child can have a grilled cheese sandwich for lunch.”

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    “We are going on a camping trip this weekend, and I have bought hot dogs to grill for his lunch.”

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    “For a snack, my child can have ice cream.”

    Quick Answer: 223

    Detailed Answer: 233

  • A client with AIDS has a viral load of 200 copies per ml. The nurse should interpret this finding as:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    The client is at risk for opportunistic diseases.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    The client is no longer communicable.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    The client’s viral load is extremely low so he is relatively free of circulating virus.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    The client’s T-cell count is extremely low.

    Quick Answer: 223

    Detailed Answer: 233

  • The client has an order for sliding scale insulin at 1900 hours and Lantus insulin at the same hour. The nurse should:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Administer the two medications together.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Administer the medications in two injections.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Draw up the Lantus insulin and then the regular insulin and administer them together.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Contact the doctor because these medications should not be given to the same client.

    Quick Answer: 223

    Detailed Answer: 234

  • A priority nursing diagnosis for a child being admitted from surgery following a tonsillectomy is:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Altered nutrition

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Impaired communication

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Risk for injury/aspiration

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Altered urinary elimination

    Quick Answer: 223

    Detailed Answer: 234

  • What would the nurse expect the admitting assessment to reveal in a client with glomerulonephritis?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Hypertension

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Lassitude

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Fatigue

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Vomiting and diarrhea

    Quick Answer: 223

    Detailed Answer: 234

  • Which action is contraindicated in the client with epiglottis?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Ambulation

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Oral airway assessment using a tongue blade

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Placing a blood pressure cuff on the arm

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Checking the deep tendon reflexes.

    Quick Answer: 223

    Detailed Answer: 234

  • A 25-year-old client with a goiter is admitted to the unit. What would the nurse expect the admitting assessment to reveal?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Slow pulse

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Anorexia

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Bulging eyes

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Weight gain

    Quick Answer: 223

    Detailed Answer: 234

  • Which of the following foods, if selected by the mother with a child with celiac, would indicate her understanding of the dietary instructions?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Whole-wheat toast

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Angel hair pasta

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Reuben on rye

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Rice cereal

    Quick Answer: 223

    Detailed Answer: 234

  • The first action that the nurse should take if she finds the client has an O2 saturation of 68% is:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Elevate the head.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Recheck the O2 saturation in 30 minutes.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Apply oxygen by mask.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Assess the heart rate.

    Quick Answer: 223

    Detailed Answer: 234

  • Which observation would the nurse expect to make after an amniotomy?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Dark yellow amniotic fluid

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Clear amniotic fluid

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Greenish amniotic fluid

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Red amniotic fluid

    Quick Answer: 223

    Detailed Answer: 234

  • The client taking Glyburide (Diabeta) should be cautioned to:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Avoid eating sweets.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Report changes in urinary pattern.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Allow three hours for onset.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Check the glucose daily.

    Quick Answer: 223

    Detailed Answer: 234

  • The obstetric client’s fetal heart rate is 80–90 during the contractions. The first action the nurse should take is:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Reposition the monitor.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Turn the client to her left side.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Ask the client to ambulate.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Prepare the client for delivery.

    Quick Answer: 223

    Detailed Answer: 234

  • Arterial ulcers are best described as ulcers that:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Are smooth in texture

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Have irregular borders

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Are cool to touch

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Are painful to touch

    Quick Answer: 223

    Detailed Answer: 234

  • A vaginal exam reveals a footling breech presentation. The nurse should take which of the following actions at this time?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Anticipate the need for a Caesarean section.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Apply an internal fetal monitor.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Place the client in Genu Pectoral position.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Perform an ultrasound.

    Quick Answer: 223

    Detailed Answer: 234

  • A vaginal exam reveals that the cervix is 4cm dilated, with intact membranes and a fetal heart tone rate of 160–170bpm. The nurse decides to apply an external fetal monitor. The rationale for this implementation is:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    The cervix is closed.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    The membranes are still intact.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    The fetal heart tones are within normal limits.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    The contractions are intense enough for insertion of an internal monitor.

    Quick Answer: 223

    Detailed Answer: 234

  • The following are all nursing diagnoses appropriate for a gravida 1 para 0 in labor. Which one would be most appropriate for the primagravida as she completes the early phase of labor?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Impaired gas exchange related to hyperventilation

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Alteration in placental perfusion related to maternal position

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Impaired physical mobility related to fetal-monitoring equipment

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Potential fluid volume deficit related to decreased fluid intake

    Quick Answer: 223

    Detailed Answer: 235

  • As the client reaches 6cm dilation, the nurse notes late decelerations on the fetal monitor. What is the most likely explanation of this pattern?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    The baby is sleeping.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    The umbilical cord is compressed.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    There is head compression.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    There is uteroplacental insufficiency.

    Quick Answer: 223

    Detailed Answer: 235

  • The nurse notes variable decelerations on the fetal monitor strip. The most appropriate initial action would be to:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Notify her doctor.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Start an IV.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Reposition the client.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Readjust the monitor.

    Quick Answer: 223

    Detailed Answer: 235

  • Which of the following is a characteristic of an ominous periodic change in the fetal heart rate?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    A fetal heart rate of 120–130bpm

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    A baseline variability of 6–10bpm

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Accelerations in FHR with fetal movement

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    A recurrent rate of 90–100bpm at the end of the contractions

    Quick Answer: 223

    Detailed Answer: 235

  • The rationale for inserting a French catheter every hour for the client with epidural anesthesia is:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    The bladder fills more rapidly because of the medication used for the epidural.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Her level of consciousness is such that she is in a trancelike state.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    The sensation of the bladder filling is diminished or lost.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    She is embarrassed to ask for the bedpan that frequently.

    Quick Answer: 223

    Detailed Answer: 235

  • A client in the family planning clinic asks the nurse about the most likely time for her to conceive. The nurse explains that conception is most likely to occur when:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Estrogen levels are low

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Lutenizing hormone is high

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    The endometrial lining is thin

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    The progesterone level is low

    Quick Answer: 223

    Detailed Answer: 235

  • A client tells the nurse that she plans to use the rhythm method of birth control. The nurse is aware that the success of the rhythm method depends on the:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Age of the client

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Frequency of intercourse

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Regularity of the menses

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Range of the client’s temperature

    Quick Answer: 223

    Detailed Answer: 235

  • A client with diabetes asks the nurse for advice regarding methods of birth control. Which method of birth control is most suitable for the client with diabetes?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Intrauterine device

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Oral contraceptives

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Diaphragm

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Contraceptive sponge

    Quick Answer: 223

    Detailed Answer: 235

  • The doctor suspects that the client has an ectopic pregnancy. Which symptom is consistent with a diagnosis of a ruptured ectopic pregnancy?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Painless vaginal bleeding

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Abdominal cramping

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Throbbing pain in the upper quadrant

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Sudden, stabbing pain in the lower quadrant

    Quick Answer: 223

    Detailed Answer: 235

  • The nurse is teaching a pregnant client about nutritional needs during pregnancy. Which menu selection will best meet the nutritional needs of the pregnant client?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Hamburger patty, green beans, French fries, and iced tea

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Roast beef sandwich, potato chips, baked beans, and cola

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Baked chicken, fruit cup, potato salad, coleslaw, yogurt, and iced tea

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Fish sandwich, gelatin with fruit, and coffee

    Quick Answer: 223

    Detailed Answer: 236

  • The client with hyperemesis gravidarum is at risk for developing:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Respiratory alkalosis without dehydration

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Metabolic acidosis with dehydration

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Respiratory acidosis without dehydration

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Metabolic alkalosis with dehydration

    Quick Answer: 223

    Detailed Answer: 236

  • A client tells the doctor that she is about 20 weeks pregnant. The most definitive sign of pregnancy is:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Elevated human chorionic gonadatropin

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    The presence of fetal heart tones

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Uterine enlargement

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Breast enlargement and tenderness

    Quick Answer: 223

    Detailed Answer: 236

  • The nurse is caring for a neonate whose mother is diabetic. The nurse will expect the neonate to be:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Hypoglycemic, small for gestational age

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Hyperglycemic, large for gestational age

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Hypoglycemic, large for gestational age

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Hyperglycemic, small for gestational age

    Quick Answer: 223

    Detailed Answer: 236

  • Which of the following instructions should be included in the nurse’s teaching regarding oral contraceptives?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Weight gain should be reported to the physician.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    An alternate method of birth control is needed when taking antibiotics.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    If the client misses one or more pills, two pills should be taken per day for one week.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Changes in the menstrual flow should be reported to the physician.

    Quick Answer: 223

    Detailed Answer: 236

  • The nurse is discussing breastfeeding with a postpartum client. Breastfeeding is contraindicated in the postpartum client with:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Diabetes

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    HIV

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Hypertension

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Thyroid disease

    Quick Answer: 224

    Detailed Answer: 236

  • A client is admitted to the labor and delivery unit complaining of vaginal bleeding with very little discomfort. The nurse’s first action should be to:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Assess the fetal heart tones.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Check for cervical dilation.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Check for firmness of the uterus.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Obtain a detailed history.

    Quick Answer: 224

    Detailed Answer: 236

  • A client telephones the emergency room stating that she thinks that she is in labor. The nurse should tell the client that labor has probably begun when:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Her contractions are two minutes apart.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    She has back pain and a bloody discharge.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    She experiences abdominal pain and frequent urination.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Her contractions are five minutes apart.

    Quick Answer: 224

    Detailed Answer: 236

  • The nurse is teaching a group of prenatal clients about the effects of cigarette smoke on fetal development. Which characteristic is associated with babies born to mothers who smoked during pregnancy?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Low birth weight

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Large for gestational age

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Preterm birth, but appropriate size for gestation

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Growth retardation in weight and length

    Quick Answer: 224

    Detailed Answer: 237

  • The physician has ordered an injection of RhoGam for the postpartum client whose blood type is A negative but whose baby is O positive. To provide postpartum prophylaxis, RhoGam should be administered:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Within 72 hours of delivery

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Within one week of delivery

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Within two weeks of delivery

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Within one month of delivery

    Quick Answer: 224

    Detailed Answer: 237

  • After the physician performs an amniotomy, the nurse’s first action should be to assess the:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Degree of cervical dilation

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Fetal heart tones

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Client’s vital signs

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Client’s level of discomfort

    Quick Answer: 224

    Detailed Answer: 237

  • A client is admitted to the labor and delivery unit. The nurse performs a vaginal exam and determines that the client’s cervix is 5cm dilated with 75% effacement. Based on the nurse’s assessment, the client is in which phase of labor?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Active

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Latent

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Transition

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Early

    Quick Answer: 224

    Detailed Answer: 237

  • A newborn with narcotic abstinence syndrome is admitted to the nursery. Nursing care of the newborn should include:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Teaching the mother to provide tactile stimulation

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Wrapping the newborn snugly in a blanket

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Placing the newborn in the infant seat

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Initiating an early infant-stimulation program

    Quick Answer: 224

    Detailed Answer: 237

  • A client elects to have epidural anesthesia to relieve the discomfort of labor. Following the initiation of epidural anesthesia, the nurse should give priority to:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Checking for cervical dilation

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Placing the client in a supine position

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Checking the client’s blood pressure

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Obtaining a fetal heart rate

    Quick Answer: 224

    Detailed Answer: 237

  • The nurse is aware that the best way to prevent post-operative wound infection in the surgical client is to:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Administer a prescribed antibiotic.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Wash her hands for two minutes before care.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Wear a mask when providing care.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Ask the client to cover her mouth when she coughs.

    Quick Answer: 224

    Detailed Answer: 237

  • The elderly client is admitted to the emergency room. Which symptom is the client with a fractured hip most likely to exhibit?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Pain

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Disalignment

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Cool extremity

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Absence of pedal pulses

    Quick Answer: 224

    Detailed Answer: 237

  • The nurse knows that a 60-year-old female client’s susceptibility to osteoporosis is most likely related to:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Lack of exercise

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Hormonal disturbances

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Lack of calcium

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Genetic predisposition

    Quick Answer: 224

    Detailed Answer: 237

  • A two-year-old is admitted for repair of a fractured femur and is placed in Bryant’s traction. Which finding by the nurse indicates that the traction is working properly?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    The infant no longer complains of pain.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    The buttocks are 15° off the bed.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    The legs are suspended in the traction.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    The pins are secured within the pulley.

    Quick Answer: 224

    Detailed Answer: 238

  • Which statement is true regarding balanced skeletal traction? Balanced skeletal traction:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Uses a Steinman pin

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Requires that both legs be secured

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Utilizes Kirschner wires

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Is used primarily to heal the fractured hips

    Quick Answer: 224

    Detailed Answer: 238

  • The client is admitted for an open reduction internal fixation of a fractured hip. Immediately following surgery, the nurse should give priority to assessing the:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Serum collection (Davol) drain

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Client’s pain

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Nutritional status

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Immobilizer

    Quick Answer: 224

    Detailed Answer: 238

  • Which statement made by the family member caring for the client with a percutaneous gastrostomy tube indicates understanding of the nurse’s teaching?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    “I must flush the tube with water after feedings and clamp the tube.”

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    “I must check placement four times per day.”

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    “I will report to the doctor any signs of indigestion.”

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    “If my father is unable to swallow, I will discontinue the feeding and call the clinic.”

    Quick Answer: 224

    Detailed Answer: 238

  • The nurse is assessing the client with a total knee replacement two hours post-operative. Which information requires notification of the doctor?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Scant bleeding on the dressing

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Low-grade temperature

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Hemoglobin of 7gm

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    The urinary output has been 120ml during the last hour

    Quick Answer: 224

    Detailed Answer: 238

  • The nurse is caring for the client with a five-year-old diagnosis of plumbism. Which information in the health history is most likely related to the development of plumbism?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    The client has traveled out of the country in the last six months.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    The client’s parents are skilled stained-glass artists.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    The client lives in a house built in 1990.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    The client has several brothers and sisters.

    Quick Answer: 224

    Detailed Answer: 238

  • A client with a total hip replacement requires special equipment. Which equipment would assist the client with a total hip replacement with activities of daily living?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    High-seat commode

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Recliner

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    TENS unit

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Abduction pillow

    Quick Answer: 224

    Detailed Answer: 238

  • An elderly client with an abdominal surgery is admitted to the unit following surgery. In anticipation of complications of anesthesia and narcotic administration, the nurse should:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Administer oxygen via nasal cannula.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Have narcan (naloxane) available.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Prepare to administer blood products.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Prepare to do cardioresuscitation.

    Quick Answer: 224

    Detailed Answer: 238

  • Which roommate would be most suitable for the six-year-old male with a fractured femur in Russell’s traction?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    16-year-old female with scoliosis

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    12-year-old male with a fractured femur

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    10-year-old male with sarcoma

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    6-year-old male with osteomylitis

    Quick Answer: 224

    Detailed Answer: 239

  • A client with osteoarthritis has a prescription for Celebrex (celecoxib). Which instruction should be included in the discharge teaching?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Take the medication with milk.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Report chest pain.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Remain upright after taking for 30 minutes.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Allow six weeks for optimal effects.

    Quick Answer: 224

    Detailed Answer: 239

  • A client with a fractured tibia has a plaster-of-Paris cast applied to immobilize the fracture. Which action by the nurse indicates understanding of a plaster-of-Paris cast? The nurse:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Handles the cast with the fingertips

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Petals the cast

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Dries the cast with a hair dryer

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Allows 24 hours before bearing weight

    Quick Answer: 224

    Detailed Answer: 239

  • The teenager with a fiberglass cast asks the nurse if it will be okay to allow his friends to autograph his cast. Which response would be best?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    “It will be alright for your friends to autograph the cast.”

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    “Because the cast is made of plaster, autographing can weaken the cast.”

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    “If they don’t use chalk to autograph, it is okay.”

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    “Autographing or writing on the cast in any form will harm the cast.”

    Quick Answer: 224

    Detailed Answer: 239

  • The nurse is assigned to care for the client with a Steinman pin. During pin care, she notes that the LPN uses sterile gloves and Q-tips to clean the pin. Which action should the nurse take at this time?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Assisting the LPN with opening sterile packages and peroxide

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Telling the LPN that clean gloves are allowed

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Telling the LPN that the registered nurse should perform pin care

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Asking the LPN to clean the weights and pulleys with peroxide

    Quick Answer: 224

    Detailed Answer: 239

  • A child with scoliosis has a spica cast applied. Which action specific to the spica cast should be taken?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Check the bowel sounds.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Assess the blood pressure.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Offer pain medication.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Check for swelling.

    Quick Answer: 224

    Detailed Answer: 239

  • The client with a cervical fracture is placed in traction. Which type of traction will be utilized at the time of discharge?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Russell’s traction

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Buck’s traction

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Halo traction

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Crutchfield tong traction

    Quick Answer: 224

    Detailed Answer: 239

  • A client with a total knee replacement has a CPM (continuous passive motion device) applied during the post-operative period. Which statement made by the nurse indicates understanding of the CPM machine?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    “Use of the CPM will permit the client to ambulate during the therapy.”

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    “The CPM machine controls should be positioned distal to the site.”

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    “If the client complains of pain during the therapy, I will turn off the machine and call the doctor.”

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    “Use of the CPM machine will alleviate the need for physical therapy after the client is discharged.”

    Quick Answer: 224

    Detailed Answer: 239

  • A client with a fractured hip is being taught correct use of the walker. The nurse is aware that the correct use of the walker is achieved if the:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Palms rest lightly on the handles

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Elbows are flexed 0°

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Client walks to the front of the walker

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Client carries the walker

    Quick Answer: 224

    Detailed Answer: 240

  • When assessing a laboring client, the nurse finds a prolapsed cord. The nurse should:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Attempt to replace the cord.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Place the client on her left side.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Elevate the client’s hips.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Cover the cord with a dry, sterile gauze.

    Quick Answer: 224

    Detailed Answer: 240

  • The nurse is caring for a 30-year-old male admitted with a stab wound. While in the emergency room, a chest tube is inserted. Which of the following explains the primary rationale for insertion of chest tubes?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    The tube will allow for equalization of the lung expansion.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Chest tubes serve as a method of draining blood and serous fluid and assist in reinflating the lungs.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Chest tubes relieve pain associated with a collapsed lung.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Chest tubes assist with cardiac function by stabilizing lung expansion.

    Quick Answer: 224

    Detailed Answer: 240

  • A client who delivered this morning tells the nurse that she plans to breastfeed her baby. The nurse is aware that successful breastfeeding is most dependent on the:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Mother’s educational level

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Infant’s birth weight

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Size of the mother’s breast

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Mother’s desire to breastfeed

    Quick Answer: 224

    Detailed Answer: 240

  • The nurse is monitoring the progress of a client in labor. Which finding should be reported to the physician immediately?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    The presence of scant bloody discharge

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Frequent urination

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    The presence of green-tinged amniotic fluid

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Moderate uterine contractions

    Quick Answer: 224

    Detailed Answer: 240

  • The nurse is measuring the duration of the client’s contractions. Which statement is true regarding the measurement of the duration of contractions?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Duration is measured by timing from the beginning of one contraction to the beginning of the next contraction.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Duration is measured by timing from the end of one contraction to the beginning of the next contraction.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Duration is measured by timing from the beginning of one contraction to the end of the same contraction.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Duration is measured by timing from the peak of one contraction to the end of the same contraction.

    Quick Answer: 224

    Detailed Answer: 240

  • The physician has ordered an intravenous infusion of Pitocin for the induction of labor. When caring for the obstetric client receiving intravenous Pitocin, the nurse should monitor for:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Maternal hypoglycemia

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Fetal bradycardia

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Maternal hyperreflexia

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Fetal movement

    Quick Answer: 224

    Detailed Answer: 240

  • A client with diabetes visits the prenatal clinic at 28 weeks gestation. Which statement is true regarding insulin needs during pregnancy?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Insulin requirements moderate as the pregnancy progresses.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    A decreased need for insulin occurs during the second trimester.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Elevations in human chorionic gonadotrophin decrease the need for insulin.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Fetal development depends on adequate insulin regulation.

    Quick Answer: 224

    Detailed Answer: 240

  • A client in the prenatal clinic is assessed to have a blood pressure of 180/96. The nurse should give priority to:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Providing a calm environment

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Obtaining a diet history

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Administering an analgesic

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Assessing fetal heart tones

    Quick Answer: 224

    Detailed Answer: 240

  • A primigravida, age 42, is six weeks pregnant. Based on the client’s age, her infant is at risk for:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Down syndrome

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Respiratory distress syndrome

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Turner’s syndrome

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Pathological jaundice

    Quick Answer: 224

    Detailed Answer: 241

  • A client with a missed abortion at 29 weeks gestation is admitted to the hospital. The client will most likely be treated with:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Magnesium sulfate

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Calcium gluconate

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Dinoprostone (Prostin E.)

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Bromocrystine (Parlodel)

    Quick Answer: 224

    Detailed Answer: 241

  • A client with preeclampsia has been receiving an infusion containing magnesium sulfate for a blood pressure that is 160/80; deep tendon reflexes are 1 plus, and the urinary output for the past hour is 100mL. The nurse should:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Continue the infusion of magnesium sulfate while monitoring the client’s blood pressure.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Stop the infusion of magnesium sulfate and contact the physician.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Slow the infusion rate and turn the client on her left side.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Administer calcium gluconate IV push and continue to monitor the blood pressure.

    Quick Answer: 224

    Detailed Answer: 241

  • Which statement made by the nurse describes the inheritance pattern of autosomal recessive disorders?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    An affected newborn has unaffected parents.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    An affected newborn has one affected parent.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Affected parents have a one in four chance of passing on the defective gene.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Affected parents have unaffected children who are carriers.

    Quick Answer: 224

    Detailed Answer: 241

  • A pregnant client, age 32, asks the nurse why her doctor has recommended a serum alpha fetoprotein. The nurse should explain that the doctor has recommended the test:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Because it is a state law

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    To detect cardiovascular defects

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Because of her age

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    To detect neurological defects

    Quick Answer: 224

    Detailed Answer: 241

  • A client with hypothyroidism asks the nurse if she will still need to take thyroid medication during the pregnancy. The nurse’s response is based on the knowledge that:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    There is no need to take thyroid medication because the fetus’s thyroid produces a thyroid-stimulating hormone.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Regulation of thyroid medication is more difficult because the thyroid gland increases in size during pregnancy.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    It is more difficult to maintain thyroid regulation during pregnancy due to a slowing of metabolism.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Fetal growth is arrested if thyroid medication is continued during pregnancy.

    Quick Answer: 224

    Detailed Answer: 241

  • The nurse is responsible for performing a neonatal assessment on a full-term infant. At one minute, the nurse could expect to find:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    An apical pulse of 100

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    An absence of tonus

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Cyanosis of the feet and hands

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Jaundice of the skin and sclera

    Quick Answer: 224

    Detailed Answer: 241

  • A client with sickle cell anemia is admitted to the labor and delivery unit during the first phase of labor. The nurse should anticipate the client’s need for:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Supplemental oxygen

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Fluid restriction

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Blood transfusion

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Delivery by Caesarean section

    Quick Answer: 224

    Detailed Answer: 241

  • A client with diabetes has an order for ultrasonography. Preparation for an ultrasound includes:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Increasing fluid intake

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Limiting ambulation

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Administering an enema

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Withholding food for eight hours

    Quick Answer: 224

    Detailed Answer: 241

  • An infant who weighs 8 pounds at birth would be expected to weigh how many pounds at one year?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    14 pounds

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    16 pounds

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    18 pounds

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    24 pounds

    Quick Answer: 224

    Detailed Answer: 241

  • A pregnant client with a history of alcohol addiction is scheduled for a nonstress test. The nonstress test:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Determines the lung maturity of the fetus

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Measures the activity of the fetus

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Shows the effect of contractions on the fetal heart rate

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Measures the neurological well-being of the fetus

    Quick Answer: 224

    Detailed Answer: 242

  • A full-term male has hypospadias. Which statement describes hypospadias?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    The urethral opening is absent

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    The urethra opens on the top side of the penis

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    The urethral opening is enlarged

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    The urethra opens on the under side of the penis

    Quick Answer: 224

    Detailed Answer: 242

  • A gravida III para II is admitted to the labor unit. Vaginal exam reveals that the client’s cervix is 8cm dilated, with complete effacement. The priority nursing diagnosis at this time is:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Alteration in coping related to pain

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Potential for injury related to precipitate delivery

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Alteration in elimination related to anesthesia

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Potential for fluid volume deficit related to NPO status

    Quick Answer: 224

    Detailed Answer: 242

  • The client with varicella will most likely have an order for which category of medication?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Antibiotics

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Antipyretics

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Antivirals

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Anticoagulants

    Quick Answer: 224

    Detailed Answer: 242

  • A client is admitted complaining of chest pain. Which of the following drug orders should the nurse question?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Nitroglycerin

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Ampicillin

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Propranolol

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Verapamil

    Quick Answer: 224

    Detailed Answer: 242

  • Which of the following instructions should be included in the teaching for the client with rheumatoid arthritis?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Avoid exercise because it fatigues the joints.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Take prescribed anti-inflammatory medications with meals.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Alternate hot and cold packs to affected joints.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Avoid weight-bearing activity.

    Quick Answer: 224

    Detailed Answer: 242

  • A client with acute pancreatitis is experiencing severe abdominal pain. Which of the following orders should be questioned by the nurse?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Meperidine 100mg IM m 4 hours PRN pain

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Mylanta 30 ccs m 4 hours via NG

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Cimetadine 300mg PO m.i.d.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Morphine 8mg IM m 4 hours PRN pain

    Quick Answer: 224

    Detailed Answer: 242

  • The client is admitted to the chemical dependence unit with an order for continuous observation. The nurse is aware that the doctor has ordered continuous observation because:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Hallucinogenic drugs create both stimulant and depressant effects.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Hallucinogenic drugs induce a state of altered perception.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Hallucinogenic drugs produce severe respiratory depression.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Hallucinogenic drugs induce rapid physical dependence.

    Quick Answer: 224

    Detailed Answer: 242

  • A client with a history of abusing barbiturates abruptly stops taking the medication. The nurse should give priority to assessing the client for:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Depression and suicidal ideation

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Tachycardia and diarrhea

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Muscle cramping and abdominal pain

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Tachycardia and euphoric mood

    Quick Answer: 224

    Detailed Answer: 242

  • During the assessment of a laboring client, the nurse notes that the FHT are loudest in the upper-right quadrant. The infant is most likely in which position?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Right breech presentation

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Right occipital anterior presentation

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Left sacral anterior presentation

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Left occipital transverse presentation

    Quick Answer: 224

    Detailed Answer: 243

  • The primary physiological alteration in the development of asthma is:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Bronchiolar inflammation and dyspnea

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Hypersecretion of abnormally viscous mucus

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Infectious processes causing mucosal edema

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Spasm of bronchiolar smooth muscle

    Quick Answer: 224

    Detailed Answer: 243

  • A client with mania is unable to finish her dinner. To help her maintain sufficient nourishment, the nurse should:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Serve high-calorie foods she can carry with her.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Encourage her appetite by sending out for her favorite foods.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Serve her small, attractively arranged portions.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Allow her in the unit kitchen for extra food whenever she pleases.

    Quick Answer: 224

    Detailed Answer: 243

  • To maintain Bryant’s traction, the nurse must make certain that the child’s:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Hips are resting on the bed, with the legs suspended at a right angle to the bed

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Hips are slightly elevated above the bed and the legs are suspended at a right angle to the bed

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Hips are elevated above the level of the body on a pillow and the legs are suspended parallel to the bed

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Hips and legs are flat on the bed, with the traction positioned at the foot of the bed

    Quick Answer: 224

    Detailed Answer: 243

  • Which action by the nurse indicates understanding of herpes zoster?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    The nurse covers the lesions with a sterile dressing.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    The nurse wears gloves when providing care.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    The nurse administers a prescribed antibiotic.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    The nurse administers oxygen.

    Quick Answer: 224

    Detailed Answer: 243

  • There is an order for a trough to be drawn on the client receiving Vancomycin. The nurse is aware that he should contact the lab for them to collect the blood:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    15 minutes after the infusion

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    30 minutes before the fourth infusion

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    One hour after the infusion

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Two hours after the infusion

    Quick Answer: 224

    Detailed Answer: 243

  • The client using a diaphragm should be instructed to:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Refrain from keeping the diaphragm in longer than four hours

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Keep the diaphragm in a cool location

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Have the diaphragm resized if she gains five pounds

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Have the diaphragm resized if she has any surgery

    Quick Answer: 224

    Detailed Answer: 243

  • The nurse is providing postpartum teaching for a mother planning to breastfeed her infant. Which of the client’s statements indicates the need for additional teaching?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    “I’m wearing a support bra.”

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    “I’m expressing milk from my breast.”

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    “I’m drinking four glasses of fluid during a 24-hour period.”

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    “While I’m in the shower, I’ll allow the water to run over my breasts.”

    Quick Answer: 224

    Detailed Answer: 243

  • Damage to the VII cranial nerve results in:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Facial pain

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Absence of ability to smell

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Absence of eye movement

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Tinnitus

    Quick Answer: 224

    Detailed Answer: 243

  • A client is receiving Pyridium (phenazopyridine hydrochloride) for a urinary tract infection. The client should be taught that the medication may:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Cause diarrhea

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Change the color of her urine

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Cause mental confusion

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Cause changes in taste

    Quick Answer: 224

    Detailed Answer: 244

  • Which of the following tests should be performed before beginning a prescription of Accutane?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Check the calcium level.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Perform a pregnancy test.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Monitor apical pulse.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Obtain a creatinine level.

    Quick Answer: 224

    Detailed Answer: 244

  • A client with AIDS is taking Zovirax (acyclovir). Which nursing intervention is most critical during the administration of acyclovir?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Limit the client’s activity.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Encourage a high-carbohydrate diet.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Use an incentive spirometer to improve respiratory function.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Encourage fluids.

    Quick Answer: 224

    Detailed Answer: 244

  • A client is admitted for an CAT scan. The nurse should question the client regarding:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Pregnancy

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    A titanium hip replacement

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Allergies to antibiotics

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Inability to move his feet

    Quick Answer: 224

    Detailed Answer: 244

  • The nurse is caring for the client receiving Amphotericin B. Which of the following indicates that the client has experienced toxicity to this drug?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Changes in vision

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Nausea

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Urinary frequency

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Changes in skin color

    Quick Answer: 224

    Detailed Answer: 244

  • The nurse should visit which of the following clients first?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    The client with diabetes with a blood glucose of 95mg/dL

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    The client with hypertension being maintained on Lisinopril

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    The client with chest pain and a history of angina

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    The client with Raynaud’s disease

    Quick Answer: 224

    Detailed Answer: 244

  • A client with cystic fibrosis is taking pancreatic enzymes. The nurse should administer this medication:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Once per day in the morning

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Three times per day with meals

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Once per day at bedtime

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Four times per day

    Quick Answer: 224

    Detailed Answer: 244

  • Cataracts result in opacity of the crystalline lens. Which of the following best explains the functions of the lens?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    The lens controls stimulation of the retina.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    The lens orchestrates eye movement.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    The lens focuses light rays on the retina.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    The lens magnifies small objects.

    Quick Answer: 224

    Detailed Answer: 244

  • A client who has glaucoma is to have miotic eyedrops instilled in both eyes. The nurse knows that the purpose of the medication is to:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Anesthetize the cornea

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Dilate the pupils

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Constrict the pupils

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Paralyze the muscles of accommodation

    Quick Answer: 224

    Detailed Answer: 244

  • A client with a severe corneal ulcer has an order for Gentamicin gtt. q 4 hours and Neomycin 1 gtt q 4 hours. Which of the following schedules should be used when administering the drops?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Allow five minutes between the two medications.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    The medications may be used together.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    The medications should be separated by a cycloplegic drug.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    The medications should not be used in the same client.

    Quick Answer: 224

    Detailed Answer: 244

  • The client with color blindness will most likely have problems distinguishing which of the following colors?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Orange

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Violet

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Red

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    White

    Quick Answer: 224

    Detailed Answer: 244

  • The client with a pacemaker should be taught to:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Report ankle edema

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Check his blood pressure daily

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Refrain from using a microwave oven

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Monitor his pulse rate

    Quick Answer: 224

    Detailed Answer: 245

  • The client with enuresis is being taught regarding bladder retraining. The nurse should advise the client to refrain from drinking after:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    1900

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    1200

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    1000

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    0700

    Quick Answer: 224

    Detailed Answer: 245

  • Which of the following diet instructions should be given to the client with recurring urinary tract infections?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Increase intake of meats.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Avoid citrus fruits.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Perform pericare with hydrogen peroxide.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Drink a glass of cranberry juice every day.

    Quick Answer: 224

    Detailed Answer: 245

  • The physician has prescribed NPH insulin for a client with diabetes mellitus. Which statement indicates that the client knows when the peak action of the insulin occurs?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    “I will make sure I eat breakfast within two hours of taking my insulin.”

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    “I will need to carry candy or some form of sugar with me all the time.”

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    “I will eat a snack around three o’clock each afternoon.”

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    “I can save my dessert from supper for a bedtime snack.”

    Quick Answer: 224

    Detailed Answer: 245

  • A client with pneumacystis carinii pneumonia is receiving Methotrexate. The rationale for administering leucovorin calcium to a client receiving Methotrexate is to:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Treat anemia

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Create a synergistic effect

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Increase the number of white blood cells

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Reverse drug toxicity

    Quick Answer: 224

    Detailed Answer: 245

  • A client tells the nurse that she is allergic to eggs, dogs, rabbits, and chicken feathers. Which order should the nurse question?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    TB skin test

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Rubella vaccine

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    ELISA test

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Chest x-ray

    Quick Answer: 224

    Detailed Answer: 245

  • The physician has prescribed ranitidine (Zantac) for a client with erosive gastritis. The nurse should administer the medication:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    30 minutes before meals

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    With each meal

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    In a single dose at bedtime

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    60 minutes after meals

    Quick Answer: 224

    Detailed Answer: 245

  • A temporary colostomy is performed on the client with colon cancer. The nurse is aware that the proximal end of a double barrel colostomy:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Is the opening on the client’s left side

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Is the opening on the distal end on the client’s left side

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Is the opening on the client’s right side

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Is the opening on the distal right side

    Quick Answer: 224

    Detailed Answer: 245

  • While assessing the postpartal client, the nurse notes that the fundus is displaced to the right. Based on this finding, the nurse should:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Ask the client to void.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Assess the blood pressure for hypotension.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Administer oxytocin.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Check for vaginal bleeding.

    Quick Answer: 224

    Detailed Answer: 245

  • The physician has ordered an MRI for a client with an orthopedic ailment. An MRI should not be done if the client has:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    The need for oxygen therapy

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    A history of claustrophobia

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    A permanent pacemaker

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Sensory deafness

    Quick Answer: 224

    Detailed Answer: 246

  • A six-month-old client is placed on strict bed rest following a hernia repair. Which toy is best suited to the client?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Colorful crib mobile

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Hand-held electronic games

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Cars in a plastic container

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    30-piece jigsaw puzzle

    Quick Answer: 224

    Detailed Answer: 246

  • The nurse is preparing to discharge a client with a long history of polio. The nurse should tell the client that:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Taking a hot bath will decrease stiffness and spasticity.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    A schedule of strenuous exercise will improve muscle strength.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Rest periods should be scheduled throughout the day.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Visual disturbances can be corrected with prescription glasses.

    Quick Answer: 224

    Detailed Answer: 246

  • A client on the postpartum unit has a proctoepisiotomy. The nurse should anticipate administering which medication?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Dulcolax suppository

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Docusate sodium (Colace)

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Methyergonovine maleate (Methergine)

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Bromocriptine sulfate (Parlodel)

    Quick Answer: 224

    Detailed Answer: 246

  • A client with pancreatic cancer has an infusion of TPN (Total Parenteral Nutrition). The doctor has ordered for sliding-scale insulin. The most likely explanation for this order is:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Total Parenteral Nutrition leads to negative nitrogen balance and elevated glucose levels.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Total Parenteral Nutrition cannot be managed with oral hypoglycemics.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Total Parenteral Nutrition is a high-glucose solution that often elevates the blood glucose levels.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Total Parenteral Nutrition leads to further pancreatic disease.

    Quick Answer: 224

    Detailed Answer: 246

  • An adolescent primigravida who is 10 weeks pregnant attends the antepartal clinic for a first check-up. To develop a teaching plan, the nurse should initially assess:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    The client’s knowledge of the signs of preterm labor

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    The client’s feelings about the pregnancy

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Whether the client was using a method of birth control

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    The client’s thought about future children

    Quick Answer: 224

    Detailed Answer: 246

  • An obstetric client is admitted with dehydration. Which IV fluid would be most appropriate for the client?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    .45 normal saline

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Dextrose 1% in water

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Lactated Ringer’s

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Dextrose 5% in .45 normal saline

    Quick Answer: 224

    Detailed Answer: 246

  • The physician has ordered a thyroid scan to confirm the diagnosis of a goiter. Before the procedure, the nurse should:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Assess the client for allergies.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Bolus the client with IV fluid.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Tell the client he will be asleep.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Insert a urinary catheter.

    Quick Answer: 224

    Detailed Answer: 246

  • The physician has ordered an injection of RhoGam for a client with blood type A negative. The nurse understands that RhoGam is given to:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Provide immunity against Rh isoenzymes

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Prevent the formation of Rh antibodies

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Eliminate circulating Rh antibodies

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Convert the Rh factor from negative to positive

    Quick Answer: 224

    Detailed Answer: 246

  • The nurse is caring for a client admitted to the emergency room after a fall. X-rays reveal that the client has several fractured bones in the foot. Which treatment should the nurse anticipate for the fractured foot?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Application of a short inclusive spica cast

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Stabilization with a plaster-of-Paris cast

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Surgery with Kirschner wire implantation

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    A gauze dressing only

    Quick Answer: 224

    Detailed Answer: 246

  • A client with bladder cancer is being treated with iridium seed implants. The nurse’s discharge teaching should include telling the client to:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Strain his urine

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Increase his fluid intake

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Report urinary frequency

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Avoid prolonged sitting

    Quick Answer: 224

    Detailed Answer: 247

  • Following a heart transplant, a client is started on medication to prevent organ rejection. Which category of medication prevents the formation of antibodies against the new organ?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Antivirals

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Antibiotics

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Immunosuppressants

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Analgesics

    Quick Answer: 224

    Detailed Answer: 247

  • The nurse is preparing a client for cataract surgery. The nurse is aware that the procedure will use:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Mydriatics to facilitate removal

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Miotic medications such as Timoptic

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    A laser to smooth and reshape the lens

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Silicone oil injections into the eyeball

    Quick Answer: 224

    Detailed Answer: 247

  • A client with Alzheimer’s disease is awaiting placement in a skilled nursing facility. Which long-term plans would be most therapeutic for the client?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Placing mirrors in several locations in the home

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Placing a picture of herself in her bedroom

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Placing simple signs to indicate the location of the bedroom, bathroom, and so on

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Alternating healthcare workers to prevent boredom

    Quick Answer: 224

    Detailed Answer: 247

  • A client with an abdominal cholecystectomy returns from surgery with a Jackson-Pratt drain. The chief purpose of the Jackson-Pratt drain is to:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Prevent the need for dressing changes

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Reduce edema at the incision

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Provide for wound drainage

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Keep the common bile duct open

    Quick Answer: 224

    Detailed Answer: 247

  • The nurse is performing an initial assessment of a newborn Caucasian male delivered at 32 weeks gestation. The nurse can expect to find the presence of:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Mongolian spots

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Scrotal rugae

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Head lag

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Polyhydramnios

    Quick Answer: 224

    Detailed Answer: 247

  • The nurse is caring for a client admitted with multiple trauma. Fractures include the pelvis, femur, and ulna. Which finding should be reported to the physician immediately?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Hematuria

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Muscle spasms

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Dizziness

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Nausea

    Quick Answer: 224

    Detailed Answer: 247

  • A client is brought to the emergency room by the police. He is combative and yells, “I have to get out of here. They are trying to kill me.” Which assessment is most likely correct in relation to this statement?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    The client is experiencing an auditory hallucination.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    The client is having a delusion of grandeur.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    The client is experiencing paranoid delusions.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    The client is intoxicated.

    Quick Answer: 224

    Detailed Answer: 247

  • The nurse is preparing to suction the client with a tracheotomy. The nurse notes a previously used bottle of normal saline on the client’s bedside table. There is no label to indicate the date or time of initial use. The nurse should:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Lip the bottle and use a pack of sterile 4×4 for the dressing.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Obtain a new bottle and label it with the date and time of first use.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Ask the ward secretary when the solution was requested.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Label the existing bottle with the current date and time.

    Quick Answer: 224

    Detailed Answer: 247

  • An infant’s Apgar score is 9 at five minutes. The nurse is aware that the most likely cause for the deduction of one point is:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    The baby is hypothermic.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    The baby is experiencing bradycardia.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    The baby’s hands and feet are blue.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    The baby is lethargic.

    Quick Answer: 224

    Detailed Answer: 247

  • The primary reason for rapid continuous rewarming of the area affected by frostbite is to:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Lessen the amount of cellular damage

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Prevent the formation of blisters

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Promote movement

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Prevent pain and discomfort

    Quick Answer: 224

    Detailed Answer: 248

  • A client recently started on hemodialysis wants to know how the dialysis will take the place of his kidneys. The nurse’s response is based on the knowledge that hemodialysis works by:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Passing water through a dialyzing membrane

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Eliminating plasma proteins from the blood

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Lowering the pH by removing nonvolatile acids

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Filtering waste through a dialyzing membrane

    Quick Answer: 224

    Detailed Answer: 248

  • During a home visit, a client with AIDS tells the nurse that he has been exposed to measles. Which action by the nurse is most appropriate?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Administer an antibiotic.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Contact the physician for an order for immune globulin.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Administer an antiviral.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Tell the client that he should remain in isolation for two weeks.

    Quick Answer: 224

    Detailed Answer: 248

  • A client hospitalized with MRSA is placed on contact precautions. Which statement is true regarding precautions for infections spread by contact?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    The client should be placed in a room with negative pressure.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Infection requires close contact; therefore, the door may remain open.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Transmission is highly likely, so the client should wear a mask at all times.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Infection requires skin-to-skin contact and is prevented by hand washing, gloves, and a gown.

    Quick Answer: 224

    Detailed Answer: 248

  • A client who is admitted with an above-the-knee amputation tells the nurse that his foot hurts and itches. Which response by the nurse indicates understanding of phantom limb pain?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    “The pain will go away in a few days.”

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    “The pain is due to peripheral nervous system interruptions. I will get you some pain medication.”

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    “The pain is psychological because your foot is no longer there.”

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    “The pain and itching are due to the infection you had before the surgery.”

    Quick Answer: 224

    Detailed Answer: 248

    Quick Answer: 224

    Detailed Answer: 248

  • A client with cancer of the pancreas has undergone a Whipple procedure. The nurse is aware that during the Whipple procedure, the doctor will remove the:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Head of the pancreas

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Proximal third section of the small intestines

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Stomach and duodenum

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Esophagus and jejunum

    Quick Answer: 224

    Detailed Answer: 248

  • The physician has ordered a minimal-bacteria diet for a client with neutropenia. The client should be taught to avoid eating:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Fruits

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Salt

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Pepper

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Ketchup

    Quick Answer: 224

    Detailed Answer: 248

  • A client is discharged home with a prescription for Coumadin (sodium warfarin). The client should be instructed to:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Have a Protime done monthly.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Eat more fruits and vegetables.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Drink more liquids.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Avoid crowds.

    Quick Answer: 224

    Detailed Answer: 248

  • The nurse is assisting the physician with removal of a central venous catheter. To facilitate removal, the nurse should instruct the client to:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Perform the Valsalva maneuver as the catheter is advanced

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Turn his head to the left side and hyperextend the neck

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Take slow, deep breaths as the catheter is removed

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Turn his head to the right while maintaining a sniffing position

    Quick Answer: 224

    Detailed Answer: 248

  • A client has an order for streptokinase. Before administering the medication, the nurse should assess the client for:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Allergies to pineapples and bananas

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    A history of streptococcal infections

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Prior therapy with phenytoin

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    A history of alcohol abuse

    Quick Answer: 224

    Detailed Answer: 249

  • The nurse is providing discharge teaching for the client with leukemia. The client should be told to avoid:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Using oil- or cream-based soaps

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Flossing between the teeth

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    The intake of salt

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Using an electric razor

    Quick Answer: 224

    Detailed Answer: 249

  • The nurse is changing the ties of the client with a tracheotomy. The safest method of changing the tracheotomy ties is to:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Apply the new tie before removing the old one.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Have a helper present.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Hold the tracheotomy with the nondominant hand while removing the old tie.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Ask the doctor to suture the tracheostomy in place.

    Quick Answer: 224

    Detailed Answer: 249

  • The nurse is monitoring a client following a lung resection. The hourly output from the chest tube was 300mL. The nurse should give priority to:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Turning the client to the left side

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Milking the tube to ensure patency

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Slowing the intravenous infusion

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Notifying the physician

    Quick Answer: 224

    Detailed Answer: 249

  • The infant is admitted to the unit with tetralogy of Fallot. The nurse would anticipate an order for which medication?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Digoxin

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Epinephrine

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Aminophyline

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Atropine

    Quick Answer: 224

    Detailed Answer: 249

  • The nurse is educating the lady’s club in self-breast exam. The nurse is aware that most malignant breast masses occur in the Tail of Spence. On the diagram, place an X on the Tail of Spence.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    Quick Answer: 224

    Detailed Answer: 249

  • The toddler is admitted with a cardiac anomaly. The nurse is aware that the infant with a ventricular septal defect will:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Tire easily

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Grow normally

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Need more calories

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Be more susceptible to viral infections

    Quick Answer: 224

    Detailed Answer: 249

  • The nurse is monitoring a client with a history of stillborn infants. The nurse is aware that a nonstress test can be ordered for this client to:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Determine lung maturity

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Measure the fetal activity

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Show the effect of contractions on fetal heart rate

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Measure the well-being of the fetus

    Quick Answer: 224

    Detailed Answer: 250

  • The nurse is evaluating the client who was admitted eight hours ago for induction of labor. The following graph is noted on the monitor. Which action should be taken first by the nurse?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Instruct the client to push.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Perform a vaginal exam.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Turn off the Pitocin infusion.

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Place the client in a semi-Fowler’s position.

    Quick Answer: 224

    Detailed Answer: 250

  • The nurse notes the following on the ECG monitor. The nurse would evaluate the cardiac arrhythmia as:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Atrial flutter

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    A sinus rhythm

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Ventricular tachycardia

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Atrial fibrillation

    Quick Answer: 224

    Detailed Answer: 250

  • A client with clotting disorder has an order to continue Lovenox (enoxaparin) injections after discharge. The nurse should teach the client that Lovenox injections should:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Be injected into the deltoid muscle

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Be injected into the abdomen

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Aspirate after the injection

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Clear the air from the syringe before injections

    Quick Answer: 224

    Detailed Answer: 250

  • The nurse has a preop order to administer Valium (diazepam) 10mg and Phenergan (promethazine) 25mg. The correct method of administering these medications is to:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Administer the medications together in one syringe

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Administer the medication separately

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Administer the Valium, wait five minutes, and then inject the Phenergan

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Question the order because they cannot be given at the same time

    Quick Answer: 224

    Detailed Answer: 250

  • A client with frequent urinary tract infections asks the nurse how she can prevent the reoccurrence. The nurse should teach the client to:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Douche after intercourse

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Void every three hours

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Obtain a urinalysis monthly

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Wipe from back to front after voiding

    Quick Answer: 224

    Detailed Answer: 250

  • Which task should be assigned to the nursing assistant?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Placing the client in seclusion

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Emptying the Foley catheter of the preeclamptic client

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Feeding the client with dementia

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Ambulating the client with a fractured hip

    Quick Answer: 224

    Detailed Answer: 250

  • The client has recently returned from having a thyroidectomy. The nurse should keep which of the following at the bedside?

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    A tracheotomy set

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    A padded tongue blade

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    An endotracheal tube

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    An airway

    Quick Answer: 224

    Detailed Answer: 250

  • The physician has ordered a histoplasmosis test for the elderly client. The nurse is aware that histoplasmosis is transmitted to humans by:

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    A.

    Cats

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    B.

    Dogs

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    C.

    Turtles

    Quizlet red man syndrome may occur during the administration of vancomycin primarily due to

    D.

    Birds

    Quick Answer: 224

    Detailed Answer: 250

    • Why does red man syndrome occur with vancomycin?

    Vancomycin can cause two types of hypersensitivity reactions, the red man syndrome and anaphylaxis. Red man syndrome has often been associated with rapid infusion of the first dose of the drug and was initially attributed to impurities found in vancomycin preparations.

    What is the primary cause of red man syndrome?

    Vancomycin flushing syndrome (VFS) was previously known as red man syndrome (RMS) is an anaphylactoid reaction caused by the rapid infusion of the glycopeptide antibiotic vancomycin.

    When does red man syndrome occur?

    For that reason, it was previously named “red man syndrome.” It usually occurs during or after an intravenous (IV) infusion of vancomycin. In many cases, the faster the medication is given, the more likely the rash is to appear. The rash usually appears within 4 to 10 minutes of starting vancomycin treatment.

    What medication causes red man syndrome?

    Vancomycin flushing syndrome (VFS) is a reaction to the antibiotic vancomycin. Symptoms include flushing and itching, but there may also be weakness, back and chest pain, and swelling under the skin, known as angioedema.

    quizlet red man syndrome occur administration vancomycin primarily due

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