The nurse, administering an infusion of vancomycin, will observe ...

[DelorasTo]

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]

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.

[DelorasTo]

Excellent

[matt95]

Gracias!