A nurse is assisting in the care of a client who has a urinary tract infection.

Exhibits

The nurse is reviewing the client's medical record. Which of the following actions should the nurse take? Select all that apply.

Recommend increasing the dose of metoprolol

Clarify the prescription for amoxicillin with the provider.

Ensure the client wears a surgical mask when they are outside their room.

Request a prescription for an antiemetic medication

Place the client on contact precautions.

Answer and Explanation

Correct Answer : B,D

A. The client is already on a daily dose of Metoprolol, and there is no indication that the dose should be increased. In fact, it is important to monitor the client's blood pressure and heart rate closely due to the potential side effects of Metoprolol.

B. This is the appropriate action since the client is allergic to penicillin, and the prescription for amoxicillin should be reviewed with the provider.

C. There is no indication from the information provided that the client requires a surgical mask when outside their room.

D. The client has been vomiting and experiencing abdominal cramping, which suggests nausea and discomfort. Requesting a prescription for an antiemetic medication is an appropriate action to address these symptoms.

E. There is no indication from the information provided that the client requires contact precautions. The client has a urinary tract infection and is not exhibiting symptoms consistent with a condition that requires contact precautions.

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Correct Answer is B

Explanation

Rationale:

A. Using the incentive spirometer is important for preventing atelectasis, but it does not prevent orthostatic hypotension.

B. Dangling the legs over the side of the bed before standing helps reduce the risk of orthostatic hypotension by allowing the body to gradually adjust to the change in position.

C. Increasing protein intake is important for wound healing and tissue repair, but it does not prevent orthostatic hypotension.

D. Performing regular isometric exercises is important for maintaining muscle strength and mobility, but it does not prevent orthostatic hypotension.

Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"A"}

Explanation

A. Despite the client reporting thirst and frequent urination, the client's urine specific gravity of 1.010 is within the normal range (1.005 to 1.030). The above symptoms could be associated with the hyperglycemia.

B. There is no indication of a pneumothorax in the nurse's notes or diagnostic results.

C. The casual glucose level of 300 mg/dL is significantly above the normal range (less than 200 mg/dL), indicating hyperglycemia.

D. The client’s WBC level is elevated, 11,500/mm3 (5,000 to 10,000/mm3) thus indicating an infection.

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A nurse is assisting in the care of a client who has a urinary tract infection. Exhibits The nurse is reviewing the client's medical record. Which of the following actions should the nurse take? Select all that apply.

Nursing Test Bank

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Explanation

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A nurse is assisting in the care of a client who has a urinary tract infection.

Exhibits

The nurse is reviewing the client's medical record. Which of the following actions should the nurse take? Select all that apply.