Difficulty: Medium
Average Score: 92%
Simulated
A nurse is assisting with the care of a client who is receiving a continuous IV infusion of vancomycin. Which of the following findings should the nurse report to the provider?
Correct answer
A
Rationale
Redness at the IV site indicates phlebitis or extravasation, requiring provider notification with vancomycin, which is irritating to veins. Normal creatinine, urine output, and blood pressure are not urgent.