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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Cleanse the wound with cotton balls – Cotton fibers can shed and leave debris in the wound, increasing the risk of infection. Gauze or irrigation is preferred.
B. Use a 10-mL syringe filled with cleansing solution – A 10-mL syringe does not provide sufficient pressure for effective irrigation. A 30- to 60-mL syringe is typically recommended.
C. Hold the syringe tip 2.5 cm (1 in) above the upper end of the wound – This ensures appropriate pressure and prevents contamination while effectively flushing out debris.
D. Dry the wound bed with gauze squares – The wound bed should be kept moist to promote healing; only the surrounding skin should be dried if necessary.
Correct Answer is ["A","B","C","D"]
Explanation
A. The client has hypertension and high sodium levels, indicating fluid retention, so a diuretic may be prescribed to help manage these conditions.
B. The client reports difficulty sleeping without drinking several beers a night, indicating a potential alcohol problem. Limiting alcohol intake is a common recommendation for clients with this issue.
C. The client has elevated LDL cholesterol, indicating high-fat intake, so limiting fat intake can help manage this.
D. The client has elevated sodium levels, so reducing sodium intake can help manage this.
E. There is no indication for an antibiotic prescription based on the client's symptoms and lab results.
F. There is no indication of high potassium levels, so limiting foods high in potassium is not necessary.
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