Difficulty: Medium
Average Score: 62%
Simulated
The nurse is preparing to administer IV Vancomycin to a client. Which of the following nursing actions should be taken first?
Correct answer
D
Rationale
Even before the physical assessment (which might or might not be indicated at the time of administration of Vancomycin), ensuring that the client is not allergic to the medication is the most critical action the nurse must take before administering any drug. Lab values regarding renal functioning and therapeutic ranges via peaks and troughs are also important with some medications such as Vancomycin because renal damage can occur if blood drug levels remain high over time.