A nurse is assisting in the care of a client who has a urinary tract infection.
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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C,A,B,D,E
Explanation
A. Opening the outside cover of the sterile kit and removing the dust cover exposes the sterile supplies within the kit.
B. Grasping the outermost flap of the sterile kit while opening away from the body helps maintain the sterility of the contents within the kit.
C. Preparing a dry work surface above the waist level ensures that the sterile field is established at a proper height and that the nurse's hands are at the appropriate level for working within the sterile field.
D. Opening the innermost lower flap of the sterile kit while standing away from the sterile field allows the nurse to access the sterile supplies without contaminating the sterile field.
E. Opening each side flap of the sterile kit individually while pulling to the side further establishes the sterile field and provides access to the sterile supplies.
Correct Answer is D
Explanation
Rationale:
A. Tortuous veins are a common finding in clients with deep-vein thrombosis and may not require immediate reporting.
B. Clammy skin may be a sign of poor circulation but is not specific to deep-vein thrombosis and may not require immediate reporting.
C. Bradycardia is not typically associated with deep-vein thrombosis and may not require immediate reporting.
D. Calf swelling is a common sign of deep-vein thrombosis and should be reported to the provider immediately.
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