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The Nurse Assumes Care for a Patient Who Is Currently

Question 33

Multiple Choice

The nurse assumes care for a patient who is currently receiving a dose of intravenous vancomycin (Vancocin) infusing at 20 mg/min. The nurse notes red blotches on the patient's face, neck, and chest and assesses a blood pressure of 80/55 mm Hg. Which action will the nurse take?


A) Request an order for IV epinephrine to treat anaphylactic shock.
B) Slow the infusion to 10 mg/min and observe the patient closely.
C) Stop the infusion and obtain an order for a BUN and serum creatinine.
D) Suspect Stevens-Johnson syndrome and notify the provider immediately.

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