Author Question: The nurse, administering an infusion of vancomycin, will observe the client for which symptoms of ... (Read 39 times)

DelorasTo · **on:** Jul 23, 2018

The nurse, administering an infusion of vancomycin, will observe the client for which symptoms of red man syndrome?

Standard Text: Select all that apply.
1. Reddening of the upper body
2. Hypotension
3. Reflex tachycardia
4. Headache
5. Seizure

Question 2

Prior to discharge of a client on cephalosporin therapy, the nurse discusses potentially significant adverse effects, including:

Standard Text: Select all that apply.
1. Nausea.
2. Vomiting.
3. Abdominal pain.
4. Transient shortness of breath
5. Vaginal yeast infection.

sabina576 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1,2,3
Rationale 1: This is the classic symptom of red man syndrome.
Rationale 2: The release of histamine results in vasodilation, leading to hypotension.
Rationale 3: The release of histamine results in vasodilation, leading to reflex tachycardia.
Rationale 4: Headache may be a sign of neurotoxicity.
Rationale 5: Seizure activity may indicate neurotoxicity.
Global Rationale: Vancomycin may cause a syndrome of flushing, hypotension, tachycardia, and rash on the upper body, a condition called the red man syndrome.

Answer to Question 2

Correct Answer: 1,2,3,5
Rationale 1: Nausea is a significant GI effect of many antibiotics. If not contraindicated, taking the antibiotic with food may decrease the incidence of nausea.
Rationale 2: Vomiting is a significant GI effect of many antibiotics. If not contraindicated, taking the antibiotic with food may decrease the incidence of vomiting.
Rationale 3: Abdominal pain is a significant GI effect of many antibiotics. If not contraindicated, taking the antibiotic with food may decrease the incidence of abdominal pain.
Rationale 4: Any shortness of breath is not expected and should be discussed with the health care provider.
Rationale 5: Vaginal yeast infections are common with antibiotic therapy.
Global Rationale: Rash and diarrhea are the most common adverse effects, and superinfections are likely when the antibiotic is used for prolonged periods. Nausea and vomiting are common effects of many antibiotics.