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: Measuring blood pressure di?erences is not a method to assess the patency of an AV graft.
Choice B reason: Checking pulses is important but does not confirm the patency of the AV graft.
Choice C reason: Using a Doppler stethoscope at the antecubital fossa is not the standard method for assessing AV graft patency.
Choice D reason: Auscultating for a bruit at the site of the AV graft is a common and non-invasive way to assess for patency.
Correct Answer is ["A","B","C","D","E"]
Explanation
Choice A reason: Proper perineal care is crucial in preventing UTIs, especially in a skilled nursing facility where clients may need assistance with personal hygiene.
Choice B reason: Catheters should be discontinued as soon as medically feasible because they can be a source of infection.
Choice C reason: It is important to complete the full course of prescribed antibiotics to ensure all bacteria are eradicated and to prevent antibiotic resistance.
Choice D reason: Encouraging clients to urinate regularly and completely empty their bladder can help ?ush out bacteria and prevent UTIs.
Choice E reason: Adequate fluid intake is essential to help dilute urine and ?ush bacteria from the urinary tract.
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