Adverse effects and toxicity
Adverse effects and toxicity ( 5 Questions)
(Select all that apply) A client is receiving vancomycin (Vancocin) for a severe infection caused by methicillin-resistant Staphylococcus aureus (MRSA).
The nurse monitors the client for signs of nephrotoxicity, which include:
Elevated serum creatinine and decreased urine output are signs of nephrotoxicity, which is a potential adverse effect of vancomycin (Vancocin) therapy. Nephrotoxicity is damage to the kidneys caused by toxic substances.
Elevated serum creatinine and decreased urine output are signs of nephrotoxicity, which is a potential adverse effect of vancomycin (Vancocin) therapy. Nephrotoxicity is damage to the kidneys caused by toxic substances.
Choice C is wrong because increased blood pressure is not a sign of nephrotoxicity. Hypotension may occur during vancomycin infusion, especially if it is given too rapidly.
Choice D is wrong because hematuria is not a sign of nephrotoxicity.
Hematuria is blood in the urine, which may indicate other problems such as urinary tract infection, kidney stones, or bladder cancer.
Choice E is wrong because tinnitus is not a sign of nephrotoxicity. Tinnitus is ringing or buzzing in the ears, which may indicate ototoxicity, another potential adverse effect of vancomycin therapy.
Elevated serum creatinine and decreased urine output are signs of nephrotoxicity, which is a potential adverse effect of vancomycin (Vancocin) therapy. Nephrotoxicity is damage to the kidneys caused by toxic substances.
Choice C is wrong because increased blood pressure is not a sign of nephrotoxicity. Hypotension may occur during vancomycin infusion, especially if it is given too rapidly.
Choice D is wrong because hematuria is not a sign of nephrotoxicity.
Hematuria is blood in the urine, which may indicate other problems such as urinary tract infection, kidney stones, or bladder cancer.
Choice E is wrong because tinnitus is not a sign of nephrotoxicity. Tinnitus is ringing or buzzing in the ears, which may indicate ototoxicity, another potential adverse effect of vancomycin therapy.
Ototoxicity is damage to the ears caused by toxic substances.
Normal ranges for serum creatinine are 0.6 to 1.2 mg/dL for men and 0.5 to 1.1 mg/dL for women.
Normal ranges for urine output are 800 to 2000 mL per day or 30 to 50 mL per hour.