RN Exam Practice
Safety and Infection ControlQuestion 482 of 2368

During an IV vancomycin infusion, a client develops a red rash on the face, neck and trunk, itching, and a drop in blood pressure. Which action should the nurse take first?

  1. Stop the infusion and contact the provider
  2. Slow the infusion rate and continue the dose
  3. Continue the infusion and recheck in 15 minutes
  4. Disconnect the IV and discard the medication permanently
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Correct answer: Stop the infusion and contact the provider

These are signs of vancomycin flushing syndrome from a rapid infusion. The infusion is stopped and the provider contacted.

Source: Nursing Pharmacology, 2nd edition (Open RN, Chippewa Valley Technical College, 2023), Antimicrobials: MISCELLANEOUS ANTIBACTERIALS: GLYCOPEPTIDES. Licensed under CC BY 4.0.

Practice the topic "Safety and Infection Control"

Questions last reviewed: 18 October 2026