After completing the following case study, submit 2 NCLEX style questions related to the topics covered in the case study. (Students are expected to write their own questions. Refrain from using outside resources). Please provide a rationale for the correct answers to your questions.
A patient is prescribed vancomycin for a gram-positive organism. The nurse on the shift before you stated in the report that they could not find an IV pump, so they just hung the vancomycin and let it run to gravity. When you assess your patient, you notice flushing of the skin, a rash starting to appear, and the patient is becoming hypotensive.
Trough and Peak:
While you are preparing to start your shift as a nurse you review the laboratory studies that are needed for your patient. You notice that a trough level is ordered for your patient.
Case Study 1:
Mr. Collins is a 52-year-old client with a history of chronic renal insufficiency who presents to the medical clinic complaining of a severe sore throat. He is diagnosed with streptococcal pharyngitis. He is informed by the primary care provider that he will be treated with ampicillin 500 mg every 6 hours.
Case Study 2:
Mr. Robert is a 45-year-old homeless man who comes to the emergency department and is diagnosed with tuberculosis.
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