A client is admitted with sepsis secondary to a urinary tract infection. Of the following orders written by the health care provider, the nurse should first:

provide a device to strain all urine.

obtain blood and urine specimens for culture and sensitivity.

administer ceftriaxone 1 Gm IVPB as prescribed.

place the client on contact precautions.

Answer and Explanation

The Correct Answer is B

B. Obtaining blood and urine specimens for culture and sensitivity is a critical first step. These specimens help identify the causative organism(s) and determine their susceptibility to antibiotics, guiding appropriate antibiotic therapy. Prompt initiation of targeted antibiotic treatment is essential in managing sepsis effectively.
A. This action is important for assessing the presence of any urinary tract stones or debris, which can be helpful in diagnosing the cause of the urinary tract infection. However, it is not the first action the nurse should take in managing a client admitted with sepsis secondary to a urinary tract infection.
C. Administering antibiotics before obtaining appropriate cultures may lead to empirical treatment without knowing the specific pathogen causing the infection. It is important to obtain cultures first to guide antibiotic selection and ensure optimal treatment.
D. Contact precautions may be necessary if the client is found to have a multidrug-resistant organism or if there are specific infection control concerns. However, placing the client on contact precautions is not the first action the nurse should take in managing sepsis secondary to a urinary tract infection.

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Correct Answer is B

Explanation

B. Abdominal pain and cramping are common symptoms of diverticular disease, particularly diverticulosis and diverticulitis. The pain is often located in the lower left abdomen and can range from mild to severe. Cramping may occur due to inflammation or spasms in the affected colon segment.
A. Frequent urination is not a common symptom of diverticular disease. Diverticular disease typically involves symptoms related to the gastrointestinal tract, such as abdominal pain, changes in bowel habits, and rectal bleeding.
C. Symptoms related to the chest are more commonly associated with cardiovascular or respiratory conditions rather than gastrointestinal conditions like diverticular disease.
D. Joint stiffness is more commonly associated with musculoskeletal conditions such as arthritis or other inflammatory disorders.

A. pain is relieved by belching. B. eating food relieves pain. C. pain is aggravated by eating. D. pain occurs on the right side of the abdomen.

Correct Answer is B

Explanation

B. Eating food relieves pain is typical of a duodenal ulcer. In the duodenum, food intake stimulates the release of pancreatic juices which comprises of bicarbonate. Bicarbonate neutralizes acid relieving pain.
A. Belching can help release gas from the stomach, which may provide temporary relief from pain caused by excess gastric acid irritating the ulcer.
C. Pain is aggravated by eating is typical of gastric ulcer. Food intake stimulates the secretion of gastric acid which irritates gastric ulcer aggravating pain.
D. Pain associated with duodenal ulcers typically occurs in the upper central or upper right quadrant of the abdomen.

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A client is admitted with sepsis secondary to a urinary tract infection. Of the following orders written by the health care provider, the nurse should first:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following is a common symptom of diverticular disease?

Correct Answer is B

Explanation

The nurse is recording data obtained from a client's admission assessment. Which notation is most consistent with the presence of a duodenal ulcer? The client states that:

Correct Answer is B

Explanation

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