NCLEX PN Practice Test Practice Question
The nurse is preparing to administer the fourth dose of vancomycin IVPB to a client with infective endocarditis. Which intervention should the nurse anticipate?
Correct Answer: D
Rationale: Vancomycin requires therapeutic drug monitoring to ensure efficacy and prevent toxicity. Obtaining a serum trough level 15-30 minutes before the fourth dose (D) is standard to guide dosing adjustments. A new IV line (A) is unnecessary unless the current line is compromised. Antiemetics (B) are not routinely needed. Infusion over 60 minutes (C) is typical to prevent red man syndrome, not 30 minutes.
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