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NCLEX-PN Exam - Topic 1 Question 25 Discussion

Posted by Bonita on Sep 26, 2026 at 03:55 PM

The nurse is preparing to administer IV Vancomycin to a client. Which of the following nursing actions

should be taken first?

Suggested Answer: D

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.Safety and Infection Control


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4 comments · newest first
SH
Shenika 39 minutes ago
I’m leaning towards performing a physical assessment first, but I know lab values can be crucial too. It's a tough choice!
AL
Alex 5 days ago
I feel like reviewing peaks and troughs is essential, but I can't recall if that comes before or after checking for allergies.
CA
Carin 10 days ago
I remember practicing a question like this, and I think lab values are really important, especially for renal function.
AL
Alfred 16 days ago
I think the first step should be checking for allergies, but I'm not entirely sure if that's the most critical action.
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