An adult is admitted with acute flank pain, a 102° F (38.9° C) oral temperature, hematuria, dysuria, urgency, and fishy-smelling urine. Which admitting prescription(s) are most important for the nurse to implement? Select all that apply.
Give diphenhydramine prep for intravenous pyelogram.
Obtain clean catch urine for culture and sensitivity.
Force oral fluids to 2,000 mL/24 hours.
Initiate broad spectrum IV antibiotic as secondary infusion.
Collect a serum sample for hemoglobin and hematocrit.
Correct Answer : B,D
A. Diphenhydramine is unnecessary for diagnosing pyelonephritis.
B. Urine culture confirms bacterial infection and guides antibiotic therapy.
C. Forcing fluids may help but is not the priority over antibiotics and cultures.
D. Broad-spectrum IV antibiotics are critical to treat systemic infection.
E. Hemoglobin and hematocrit are not priority tests for pyelonephritis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Recommending that family return may not be feasible or realistic for the client.
B. A case management evaluation can help assess the home environment and identify potential resources or support services, such as home health care, that can assist the client with caregiving duties.
C. Respite care facilities may not be the best solution if the client's husband does not require extended care, and home-based support could be more appropriate.
D. Hiring a private nurse could be expensive and may not be necessary if other resources are available through case management or home health services.
Correct Answer is B
Explanation
A. Muscle strengthening exercises may be appropriate, but vitamin D3 is a more immediate concern for addressing bone and muscle symptoms.
B. Clients with extensive burns may have vitamin D deficiencies due to changes in metabolism, diet, or lack of sunlight exposure. Vitamin D3 is essential for calcium absorption and bone health, which is why this client’s symptoms of bone pain and muscle weakness suggest a need for supplementation.
C. Progressive range of motion exercises are beneficial for mobility but should not be prioritized over addressing nutritional deficiencies.
D. Skin exposure to sunlight without sunscreen is not recommended for this client due to their burn history and potential for further skin damage.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.