The Nurse Administers IV Vancomycin to a Client with a Methicillin-Resistant

The nurse administers IV vancomycin to a client with a methicillin-resistant Staphylococcus aureus infection.  Which nursing actions are most appropriate?  Select all that apply.

A) Assess client for lethargy and decreased deep tendon reflexes
B) Assess skin for flushing and red rash on face and torso
C) Infuse medication over at least 60 minutes
D) Monitor blood pressure during infusion
E) Observe IV site every 30 minutes for pain, redness, and swelling

Correct Answer:

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