A nurse is working with a client on the medical unit being treated for a bacterial infection of the urinary tract.
The nurse is preparing to administer the first dose of an antibiotic to a patient admitted for a urinary tract infection. Which most important action should the nurse take prior to administering the antibiotic?
Click on the highlighted text below that best answers the question.
A. Administering a small test dose to determine whether hypersensitivity exists.
B. Having epinephrine available in the event of a severe hypersensitivity reaction.
C. Monitoring the client’s temperature and blood pressure.
D. Obtaining a urine specimen for culture and sensitivity.
Administering a small test dose to determine whether hypersensitivity exists.
Having epinephrine available in the event of a severe hypersensitivity reaction.
Monitoring the client’s temperature and blood pressure.
Obtaining a urine specimen for culture and sensitivity.
The Correct Answer is ["D"]
Choice A rationale: Administering a small test dose is not typically required before giving an antibiotic unless there is a known history of severe allergies. It is more important to identify the causative organism to ensure the appropriate antibiotic is used.
Choice B rationale: Having epinephrine available is a safety measure for potential severe allergic reactions, but it is not the most immediate priority. Ensuring the antibiotic is appropriate for the infection is crucial.
Choice C rationale: Monitoring the client's temperature and blood pressure is important, but it is not the most immediate priority before administering the antibiotic. These parameters should be monitored throughout treatment.
Choice D rationale: Obtaining a urine specimen for culture and sensitivity is the most important action before administering the antibiotic. This ensures that the correct antibiotic is prescribed based on the specific bacteria causing the infection. It helps prevent the use of ineffective antibiotics and reduces the risk of antibiotic resistance.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Lisinopril is an antihypertensive medication and is not classified as a controlled substance.
Choice B rationale
Naloxone (Narcan) is an opioid antagonist used to reverse opioid overdoses and is not a controlled substance.
Choice C rationale
Tetracycline is an antibiotic and not classified as a controlled substance.
Choice D rationale
Morphine is an opioid analgesic used for pain management and is classified as a controlled substance due to its potential for abuse and dependence.
Correct Answer is []
Explanation
Condition: Post-operative pain.
2 actions:
Administer acetaminophen (Tylenol) for mild pain,
Apply a warm compress to the surgical site.
2 parameters:
Pain level on a 0-10 scale,
Surgical site appearance.
Rationale for correct condition: Post-operative pain is expected after surgery and the client reports mild pain (2 out of 10). Managing pain is crucial for recovery and mobility. Mild pain indicates the need for non-opioid analgesics. Pain management enhances comfort and healing. Addressing pain prevents complications.
Rationale for actions: Administering acetaminophen targets mild pain effectively. It is appropriate for the reported pain level. Warm compresses can soothe soreness and reduce pain without medication. Encourages blood flow and healing. Encouraging ambulation prevents DVT but is not pain-focused. Monitoring for infection is important but not the priority for mild pain. Ondansetron treats nausea, not pain.
Rationale for parameters: Pain level on a 0-10 scale assesses pain management effectiveness. Monitoring pain ensures appropriate interventions. Surgical site appearance checks for complications affecting pain, like infection. Respiratory rate is stable and less relevant. Oxygen saturation is normal, unrelated to pain. Urine output monitors hydration, not pain.
Rationale for incorrect conditions: Post-operative nausea and vomiting is not reported. Surgical site infection would show signs like redness or fever. DVT focuses on circulation, not pain.
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