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.

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Correct Answer is C

Explanation

A. Loss of bone mineral density occurs in osteoporosis, not osteoarthritis.
B. An infectious process in synovial fluid suggests septic arthritis, not osteoarthritis.
C. Osteoarthritis is caused by wear-and-tear destruction of joint cartilage, leading to pain and stiffness.
D. A systemic inflammatory response is characteristic of rheumatoid arthritis, not osteoarthritis.

A. Withhold next scheduled dose of low molecular weight heparin. B. Monitor the client's current white blood cell count (WBC). C. Confirm that the continuous passive motion device is intact. D. Determine if the wound drainage device is functioning correctly.

Correct Answer is D

Explanation

A. Withholding the next dose of low molecular weight heparin is not indicated unless there is active bleeding.

B. Monitoring the white blood cell count is not the immediate priority in this situation. Wound drainage is more relevant.

C. The continuous passive motion device is used for promoting mobility, but it is not related to the issue of excessive drainage.

D. Saturated dressing with serosanguineous drainage after surgery can be normal initially, but ensuring the wound drainage device is functioning correctly is crucial to prevent complications like hematoma or excessive swelling.

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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.

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Naxlex Comprehensive Predictor Exams

An older client with osteoarthritis reports increasing pain and stiffness in the right knee and asks how to reduce these symptoms. In responding to the client, the nurse recognizes which pathology as the cause of the symptoms?

Correct Answer is C

Explanation

The nurse assesses a client who had bilateral total knee replacements (TKR) four hours ago. The nurse notes that the dressing on the client's right knee is saturated with serosanguineous drainage. Which action should the nurse implement?

Correct Answer is D

Explanation

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