NUR 106 UNIT 2 ANTIBIOTICS MIDTERM EXAM WITH CORRECT ANSWERS 2024.

vancomycin (Vancocin) - p. 89 - correct answer Bactericidal, Gram-positive organisms Action: Inhibits bacteria cell wall synthesis Indications: Used for serious infections, not responding to other antibiotics Adverse Effects: Hypersensitivity, GI upset, ototoxicity, nephrotoxicity, phlebitis or extravasation, seizures, hallucinations !!Rapid IV causes "red man syndrome" Dilute w/ 200 ml solution, administer over 60 minutes!! !!Increases lactic acidosis with metformin (Type II diabetes)!! Nursing Responsibilities - vancomycin - correct answer !!Monitor blood pressure and heart rate during IV administration; take at least 60 minutes to administer!! Monitor peak & trough !!Assess baseline and periodic hearing!! Monitor fluid balance; report changes in intake and output ratio and pattern, report cloudy or pink urine Patient Teaching - vancomycin - correct answer !!Maintain adequate fluid intake (2-3 L/day)!! Immediately report allergic reaction Promptly report ringing in the ears or difficulty hearing Report any signs of a secondary infection