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 ["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 B
Explanation
A. Obtaining a history of recent bleeding and anticoagulant use is essential but should not delay immediate stabilization.
B. Elevating the head of the bed to 30 degrees helps reduce intracranial pressure and promotes cerebral perfusion, which is a priority in stroke management.
C. Sequential compression devices (SCDs) are useful for preventing deep vein thrombosis (DVT) but are not an immediate intervention.
D. Elevating dependent joints on the affected side does not have immediate benefits for stroke management.
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