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Chapter 22: Problem 35

The licensed practical nurse is monitoring a client who is receiving Vancocin (vancomycin). The nurse should ensure that: A. The medication is protected from light B. An antiemetic is administered with the medication C. The medication is infused slowly D. An antipyretic is given before the medication is infused

Short Answer

Expert verified
Answer: The most important nursing action to ensure while monitoring a client receiving Vancocin (vancomycin) is to infuse the medication slowly. This helps minimize the risk of side effects such as "red man syndrome."

Step by step solution

01

Understand the medication and its administration

Vancocin (vancomycin) is an antibiotic used to treat bacterial infections. For effective administration and to minimize potential side effects, certain factors need to be considered while administering this medication. In this case, we are given four possible actions that the nurse could take while administering Vancocin.
02

Evaluate Option A

Option A mentions that the medication should be protected from light. While it is important to store some medications in a dark environment, protecting Vancocin specifically from light is not the most crucial aspect in the administration of this medication. Therefore, this option can be eliminated.
03

Evaluate Option B

Option B suggests administering an antiemetic with the medication. Antiemetics are used to prevent or treat nausea and vomiting, which can be side effects of some medications. Although Vancocin can potentially cause nausea and vomiting as side effects, administering an antiemetic with Vancocin is not a priority nursing action. So, we can eliminate this option as well.
04

Evaluate Option C

Option C states that the medication should be infused slowly. This is the correct action that should be taken by the nurse administering Vancocin. The reason is that infusing vancomycin too quickly may cause "red man syndrome," a reaction characterized by flushing, red rash, and hypotension. To prevent this reaction, it is standard practice to administer Vancocin slowly, usually over at least 1 hour.
05

Evaluate Option D

Option D suggests giving an antipyretic before the medication is infused. While it's true that Vancocin can cause fever in some cases, administering an antipyretic as a preventative measure is not necessary for all patients and should be determined on a case-by-case basis. Consequently, this option can also be eliminated.
06

Conclusion

The correct answer to the question is Option C: The nurse should ensure that the Vancocin (vancomycin) medication is infused slowly, in order to minimize the risk of side effects such as "red man syndrome."

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