Author Question: A patient is receiving intravenous vancomycin for the treatment of Clostridium difficile. Why should ... (Read 78 times)

imanialler · **on:** Jun 25, 2018

A patient is receiving intravenous vancomycin for the treatment of Clostridium difficile. Why should the nurse assess the patient for flushing, tachycardia, and hypotension during the infusion of this medication?

1. to identify red man syndrome
2. to recognize the ototoxicity effect
3. to prevent a superinfection
4. to begin treatment for hives

Question 2

A patient diagnosed with active tuberculosis is being admitted to the hospital. For which type of isolation should the nurse prepare this patient?

1. airborne precautions
2. standard precautions
3. droplet precautions
4. contact precautions

Chelseyj.hasty · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1

Vancomycin inhibits cell wall synthesis and is used for serious infections. It is only effective against gram-positive bacteria, especially Staphylococcus aureus and Staphylococcus epidermidis. The nurse should infuse this medication slowly over 60 minutes or more to avoid red man syndrome, which is characterized by erythematous rash, flushing, tachycardia, and hypotension. Vancomycin is not associated with ototoxicity, superinfection, or hives.

Answer to Question 2

Correct Answer: 1

Airborne precautions are instituted for the patient with pulmonary tuberculosis. The patient will be in a private room with special ventilation, and masks with filter respirators used by everyone entering the room. Standard precautions are infection control practices used for every patient. Droplet precautions reduce the risk of droplet transmission of infectious agents. Droplet transmission involves contact of conjunctivae of the eyes or mucous membranes of the nose or mouth with large-particle droplets generated during coughing, sneezing, talking, or procedures such as suctioning. Contact precautions reduce the risk of transmission by direct or indirect contact. Direct contact transmission involves skin-to-skin contact and physical transfer of organisms.