A female adolescent with pelvic inflammatory disease (PID) is admitted to the hospital after 14 days of taking levofloxacin 500 mg by mouth (PO) once daily and metronidazole 500 mg PO twice daily.
She asks the nurse, “Why do I have to be in the hospital? Why can’t I get my treatment at home?” What purpose should the nurse provide that supports an effective outcome?
Implementation of contact precautions to prevent spread of infection.
Administration of a supervised parenteral antibiotic protocol.
Detection of early symptoms of Jarisch-Herxheimer reaction.
Collection of serial anaerobic cultures of vaginal discharge.
The Correct Answer is B
Choice A rationale
While contact precautions can be important in managing some infections, they are not the primary reason for hospitalization in the case of PID891011.
Choice B rationale
Hospitalization for PID is often recommended for the administration of a supervised parenteral antibiotic protocol. This allows for the direct administration of antibiotics into the bloodstream, which can be more effective in severe cases.
Choice C rationale
The Jarisch-Herxheimer reaction is a reaction to endotoxin-like products released by the death of harmful microorganisms within the body during antibiotic treatment. It is not a primary reason for hospitalization in the treatment of PID891011.
Choice D rationale
While the collection of serial anaerobic cultures of vaginal discharge can be part of the diagnostic process for PID, it is not the primary reason for hospitalization.
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Related Questions
Correct Answer is D
Explanation
Choice A rationale
Placing a pulse oximeter on the heel of a newborn can help monitor oxygen saturation levels. However, the symptoms described, such as jitteriness, hypotonicity, and a weak cry, are more indicative of hypoglycemia, a condition that would not be detected by a pulse oximeter.
Choice B rationale
Swaddling the infant in a warm blanket can help maintain body temperature, but it does not address the underlying cause of the symptoms, which are suggestive of hypoglycemia.
Choice C rationale
Documenting the findings in the record is an important part of nursing care, but it does not provide immediate intervention for the symptoms observed.
Choice D rationale
Obtaining a heel stick blood glucose level is the appropriate action given the symptoms described. Jitteriness, hypotonicity, and a weak cry can be signs of neonatal hypoglycemia. Prompt diagnosis and treatment are essential to prevent potential complications.
Correct Answer is ["72"]
Explanation
Step 1 is.. Determine oxytocin concentration in IV solution. 5 units ÷ 500 mL = 0.01 units/mL.
Step 2 is.. Convert to milliunits. 0.01 units/mL × 1000 = 10 milliunits/mL.
Step 3 is.. Calculate infusion rate. 12 milliunits/min ÷ 10 milliunits/mL = 1.2 mL/min.
Step 4 is.. Convert to mL/hour. 1.2 mL/min × 60 = 72 mL/hour.
Final Answer: 72
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