The client has MRSA and receives vancomycin (Vancocin) intravenously (IV). The nurse assesses an ...

1
Rationale 1: Upper body rash and decreased urine output are most likely symptoms of vancomycin (Vancocin) toxicity, so the medication should be held and the physician notified.
Rationale 2: There is no reason to obtain a chest x-ray.
Rationale 3: The nurse should collaborate with the physician regarding medications for treatment of this situation.
Rationale 4: The client's symptoms are most likely not due to a urinary tract infection, so a sterile urine specimen is not indicated.
Global Rationale: Upper body rash and decreased urine output are most likely symptoms of vancomycin (Vancocin) toxicity, so the medication should be held and the physician notified. There is no reason to obtain a chest x-ray. The nurse should collaborate with the physician regarding medications for treatment of this situation.
The client's symptoms are most likely not due to a urinary tract infection, so a sterile urine specimen is not indicated.

Much better than Coursehero