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A nurse is admitting a client from a provider's office.

Exhibits
Click to highlight the provider prescriptions the nurse should implement first.

  • Vital signs on admission and every 4 hr
  • NPO
  • Complete blood count
  • Basic metabolic profile
  • Arterial blood gases
  • Hemoccult stool
  • Stool culture and sensitivity
  • Urine culture and sensitivity
  • Sitz baths up to 3 times daily PRN

Medications:

  • Dextrose 5% in 0.45% sodium chloride IV at 125 mL/hr
  • Metoclopramide 10 mg IV every 6 hr PRN nausea/vomiting
  • Ciprofloxacin 400 mg IV every 12 hr

A.

Vital signs on admission and every 4 hr

B.

NPO

C.

Complete blood count

D.

Basic metabolic profile

E.

Arterial blood gases

F.

Hemoccult stool

G.

Stool culture and sensitivity

H.

Urine culture and sensitivity

I.

Sitz baths up to 3 times daily PRN

J.

Dextrose 5% in 0.45% sodium chloride IV at 125 mL/hr

K.

Metoclopramide 10 mg IV every 6 hr PRN nausea/vomiting

L.

Ciprofloxacin 400 mg IV every 12 hr

Answer and Explanation

The Correct Answer is ["A","B","J"]

Rationale

  • Vital signs on admission and every 4 hr → establish baseline and monitor for instability.
     
  • NPO → prevent worsening GI distress and prepare for possible procedures.
     
  • Dextrose 5% in 0.45% sodium chloride IV at 125 mL/hr → correct fluid volume deficit and dehydration.


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Related Questions

Correct Answer is ["B","E","F"]

Explanation

Rationale:
A. Family history increases risk for heart disease and arthritis but is not a direct risk factor for peptic ulcer disease.
B. Smoking increases gastric acid secretion, reduces mucosal healing, and significantly raises PUD risk.
C. Alcohol use is denied by the client and therefore is not a contributing factor in this case.
D. Adalimumab use (an immunosuppressant for rheumatoid arthritis/psoriasis) does not directly increase PUD risk.
E. NSAIDs inhibit prostaglandin synthesis, reducing the gastric mucosal barrier and predisposing to ulcer formation.
F. H. pylori infection is a primary cause of peptic ulcers due to its damaging effect on gastric mucosa.

Correct Answer is B

Explanation

Rationale:
A. Pain in this area is more commonly associated with appendicitis, not diverticular disease.
B. Lower left quadrant is the typical site of pain in diverticular disease, especially diverticulitis, because the sigmoid colon (most often affected) is located here.
C. Upper left quadrant; Pain in this area is more often linked to conditions involving the spleen, stomach, or pancreas.
D. Upper right quadrant; Pain here is usually related to gallbladder, liver, or biliary tract disorders.

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