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.
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Related Questions
Correct Answer is ["B","D"]
Explanation
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.
Correct Answer is D
Explanation
A. Divalproex is an anticonvulsant and is not indicated for the treatment of acute dystonic reactions.
B. IV isotonic crystalloid fluid is used for hydration but is not the primary treatment for dystonic reactions.
C. Lorazepam is a benzodiazepine, which may be used for anxiety or seizure activity, but is not effective for managing dystonic reactions.
D. Benztropine is an anticholinergic medication used to treat acute dystonic reactions, including those causing laryngeal spasms. It works by reducing the excessive cholinergic activity that leads to these symptoms.
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