NCLEX-RN (Registered Nurse) Practice Exam · Question
The nurse is reviewing a patient's medication list and notes an order for vancomycin. What is a critical assessment before administering this antibiotic?
Vancomycin has a narrow therapeutic index and is nephrotoxic and ototoxic. Monitoring peak and trough levels ensures therapeutic levels while minimizing toxicit
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Question: The nurse is reviewing a patient's medication list and notes an order for vancomycin. What is a critical assessment before administering this antibiotic?
Answer options:
- Blood glucose level
- Liver function tests ✅ Peak and trough levels
- Fluid intake and output
Correct answer: Peak and trough levels
Explanation: Vancomycin has a narrow therapeutic index and is nephrotoxic and ototoxic. Monitoring peak and trough levels ensures therapeutic levels while minimizing toxicity.
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