A nurse is caring for a client in a clinic who has foul-smelling urine, a low-grade fever of 37.7°C (100°F), and pain with urination. Which of the following should the nurse expect the health care provider to order? (Select all that apply.)
WBC count
Blood cultures x2
Foley catheter placement
Broad-spectrum antibiotic
0.9% sodium chloride infusion at 100 mL/hr
A clean-catch urinalysis and urine culture
Correct Answer : A,B,D,E,F
Choice A reason: A WBC count can help determine the presence of infection.
Choice B reason: Blood cultures may be ordered if there is a concern for a systemic infection or sepsis.
Choice C reason: Foley catheter placement is not typically indicated for UTI and can increase the risk of infection.
Choice D reason: A broad-spectrum antibiotic may be prescribed to treat the suspected UTI until specific causative bacteria are identified.
Choice E reason: IV fluids may be administered to ensure hydration, especially if the client is unable to maintain adequate oral intake due to nausea or vomiting.
Choice F reason: A clean-catch urinalysis and urine culture are essential to identify the specific bacteria causing the UTI and to determine the appropriate antibiotic therapy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Furosemide does not require a diet low in potassium; in fact, patients may need to increase their potassium intake due to its diuretic effect.
Choice B reason: Patients on furosemide should not limit fluid intake unless specifically instructed by their healthcare provider, as the medication is a diuretic.
Choice C reason: Furosemide is used to treat high blood pressure, so it would not cause an increase in blood pressure.
Choice D reason: Limiting sun exposure and wearing sunscreen is important as furosemide can make the skin more sensitive to sunlight.
Correct Answer is C
Explanation
Choice A reason: Maintaining the client in a left lateral position is not specifically required for peritoneal dialysis. Positioning may vary based on the individual's comfort and specific medical needs.
Choice B reason: While monitoring vital signs is important during any medical procedure, it is not an intervention that directly ensures proper dialysate exchange in peritoneal dialysis.
Choice C reason: Warming the dialysate solution prior to instillation is a standard practice in peritoneal dialysis. It helps to promote patient comfort and more efficient exchange of wastes and fluids.
Choice D reason: Placing the drainage bag above the level of the client's abdomen would impede gravity drainage, which is necessary for proper dialysate exchange. The drainage bag should be placed below the level of the client's abdomen.
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