ATI PN Pharmacology 2020 | Nurselytic

Correct Answer: D

Rationale: The correct answer is D: Creatinine 3.1 mg/dL. Elevated creatinine levels indicate potential kidney damage, which is a serious concern when a client is receiving vancomycin, a nephrotoxic medication. Acute kidney injury can occur as a complication of vancomycin therapy, leading to further health issues.
Therefore, it is crucial for the nurse to report this finding promptly to the provider for immediate intervention to prevent further kidney damage.

Choice A: Two loose stools are expected in a client with a Clostridium difficile infection, and it may not be the priority concern.

Choice B: WBC count of 11,000/mm³ is slightly elevated but not a priority over potential kidney damage.

Choice C: Heart rate of 104/min may be elevated due to infection or other factors, but it is not as critical as kidney function in this scenario.

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