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.

Answer and Explanation

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

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["A","B","E"]

Explanation

A. The ability to ambulate safely to the bathroom is a key indicator that the client can manage daily activities independently after discharge.
B. Normal bowel sounds and a soft abdomen indicate that there are no complications related to digestion, which is important for discharge readiness.
C. While the blood pressure of 142/94 mm Hg is elevated, it is not an immediate contraindication to discharge but should be monitored.
D. A pain rating of 5 may be acceptable depending on the client’s baseline, but if pain is not well controlled, discharge may need to be reconsidered.
E. Tolerance of oral medications is essential to ensure the client can continue managing pain at home without complications.

Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"A","dropdown-group-3":"B"}

Explanation

The client has a history of trauma with abdominal injury (lacerations to the liver and spleen) and blood in the peritoneum, indicating significant internal bleeding.

Hypovolemia (low blood volume) occurs due to blood loss from the injured organs, leading to low blood pressure (90/79 mmHg) and tachycardia (HR 128 bpm). The low hemoglobin (9.3 g/dL) and low hematocrit (30%) are consistent with either acute blood loss or hemodilution due to intravenous fluid resuscitation, which can temporarily dilute blood components. The normal clotting times (PT 11.5 sec, PTT 64 sec) do not indicate disseminated intravascular coagulation (DIC), and there is no evidence of acidosis in the provided data.

View Question and Answer

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

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.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who fell and broke a wrist is admitted for 24 hour observation after emergency orthopedic surgery. The healthcare provider prescribes discharge in the morning. Which finding(s) should the nurse use to evaluate the client's status for discharge from the hospital? Select all that apply.

Correct Answer is ["A","B","E"]

Explanation

Exhibits According to the lab values, the client has dropdownrelated to dropdownordropdown.

Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"A","dropdown-group-3":"B"}

Explanation

A client with a history of unstable angina presents to the emergency department with constant chest pressure that is unrelieved with rest. The client appears anxious, pale, and diaphoretic. After obtaining the client's vital signs, which action should the nurse take next?

A client is admitted to the intensive care until (ICU) with a spinal cord injury following a motor vehicle collision. Which nurse should be contacted to coordinate the progression of the client's care?

Which instruction should the nurse provide to a client who is preparing to have a cystoscopy?

The nurse is providing education to a client who receives a prescription for zolpidem. Which information about the medication should the nurse include?

While a child is hospitalized with acute glomerulonephritis, the parents ask why blood pressure readings are taken so often. Which response by the nurse is most accurate?

Which client should the charge nurse on the oncology unit assign to a registered nurse (RN), rather than a practical nurse (PN)?