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 B
Explanation
Choice A reason: Hyperkalemia refers to high potassium levels, which may not directly cause shortness of breath and swelling.
Choice B reason: Hypervolemia, or fluid overload, is likely the cause of the client's symptoms, including shortness of breath, swelling, crackles in the lungs, and elevated blood pressure.
Choice C reason: Hypovolemia, or fluid deficit, would not typically present with swelling and crackles in the lungs.
Choice D reason: Hyponatremia refers to low sodium levels, which may not directly cause the symptoms described.
Correct Answer is C
Explanation
Choice A reason: Renal failure is typically associated with abnormal creatinine and BUN levels, which are not
indicated in the given lab values.
Choice B reason: A low-protein diet is not directly indicated by the lab values provided and does not typically result in
collapse after exertion.
Choice C reason: Dehydration is consistent with the client's history of collapsing after playing football on a hot day
and is supported by the elevated sodium level.
Choice D reason: SIADH usually presents with low sodium levels due to dilution, which is not the case here.
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