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NCLEX-RN (Registered Nurse) Practice Exam · Question

A patient with a prescription for vancomycin reports ringing in the ears. What action should the nurse take first?

Tinnitus (ringing in the ears) is a sign of ototoxicity, a serious adverse effect of vancomycin, requiring immediate notification of the provider.

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Question: A patient with a prescription for vancomycin reports ringing in the ears. What action should the nurse take first?

Answer options:

  • Administer an antipyretic for fever.
  • Document the finding and continue the infusion. ✅ Notify the healthcare provider of the new symptom.
  • Increase the rate of the vancomycin infusion.

Correct answer: Notify the healthcare provider of the new symptom.

Explanation: Tinnitus (ringing in the ears) is a sign of ototoxicity, a serious adverse effect of vancomycin, requiring immediate notification of the provider.

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