Indications for use
Indications for use ( 5 Questions)
A nurse is monitoring a client who is receiving vancomycin for a methicillin-resistant Staphylococcus aureus (MRSA) infection. The nurse notices that the client has developed flushing, rash, and pruritus on the face and neck.
What is the most appropriate action by the nurse?
Choice A is wrong because stopping the infusion and notifying the prescriber immediately is indicated for a severe allergic reaction or anaphylaxis, which is characterized by hypotension, bronchospasm, and laryngeal edema.
Red man syndrome does not cause these signs.
Slow down the infusion and administer an antihistamine. The client has developed red man syndrome, which is a common adverse reaction to vancomycin that occurs when the drug is infused too rapidly. It is not a serious or life-threatening condition and can be managed by slowing down the infusion rate and giving an antihistamine to relieve the symptoms.
Choice C is wrong because continuing the infusion and documenting the findings is not appropriate for red man syndrome, which requires intervention to prevent further discomfort and complications.
Choice D is wrong because increasing the infusion rate and monitoring vital signs would worsen red man syndrome and increase the risk of ototoxicity and nephrotoxicity, which are serious adverse effects of vancomycin.
Slow down the infusion and administer an antihistamine. The client has developed red man syndrome, which is a common adverse reaction to vancomycin that occurs when the drug is infused too rapidly. It is not a serious or life-threatening condition and can be managed by slowing down the infusion rate and giving an antihistamine to relieve the symptoms.
Choice A is wrong because stopping the infusion and notifying the prescriber immediately is indicated for a severe allergic reaction or anaphylaxis, which is characterized by hypotension, bronchospasm, and laryngeal edema.
Red man syndrome does not cause these signs.
Choice C is wrong because continuing the infusion and documenting the findings is not appropriate for red man syndrome, which requires intervention to prevent further discomfort and complications.
Choice D is wrong because increasing the infusion rate and monitoring vital signs would worsen red man syndrome and increase the risk of ototoxicity and nephrotoxicity, which are serious adverse effects of vancomycin.