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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B"]
Explanation
The correct answer is choiceA. Manual resuscitation bagandB. An advanced airway kit.
Choice A rationale:
A manual resuscitation bag is essential in pediatric emergencies to provide immediate ventilation support if the child experiences respiratory failure. Given the child’s symptoms of fast and noisy breathing, there is a risk of respiratory distress, making this equipment crucial.
Choice B rationale:
An advanced airway kit is necessary to secure the airway in case of severe respiratory distress or failure. This kit includes tools for intubation, which may be required if the child’s condition deteriorates and manual ventilation is insufficient.
Choice C rationale:
A dose of subcutaneous epinephrine is typically used for anaphylactic reactions. While it is a critical medication in emergencies involving severe allergic reactions, it is not directly related to managing respiratory distress caused by infections or other non-allergic conditions.
Choice D rationale:
The child’s favorite toy can provide comfort and reduce anxiety during medical procedures. However, it is not a critical item for the immediate management of respiratory distress or for the placement of an intravenous line.
Correct Answer is B
Explanation
Choice A rationale
While assessing the station of the presenting part is important during labor, it is not the most crucial assessment following the administration of epidural anesthesia.
Choice B rationale
Monitoring maternal blood pressure is the most important assessment following the administration of epidural anesthesia. Epidural anesthesia can cause a drop in blood pressure, which can lead to complications for both the mother and the baby.
Choice C rationale
Although assessing the variability of the fetal heart rate is important during labor, it is not the most crucial assessment following the administration of epidural anesthesia.
Choice D rationale
While assessing the level of pain sensation is important to evaluate the effectiveness of the epidural anesthesia, it is not the most crucial assessment following its administration.
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