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A patient on day 5 of vancomycin and piperacillin-tazobactam for pneumonia has a creatinine that has risen from 0.9 to 1.7 mg/dL. Urine output is 0.4 mL/kg/h, the last vancomycin trough was drawn on day 2, and the next dose is due in 30 minutes. What should the nurse do?

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