An immunocompromised older adult has developed a urinary tract infection, and the healthcare team recognizes the need to prevent an exacerbation of the client's infection that could result in sepsis and septic shock. What action should the nurse perform to reduce the client's risk of septic shock?

Insert a new indwelling urinary catheter

Collect blood cultures

Initiate intravenous (IV) antibiotics

Obtain placement of an intravenous access for fluid administration

Answer and Explanation

The Correct Answer is C

A. Inserting a new indwelling urinary catheter could introduce new pathogens and increase the risk of infection rather than reduce it. Indwelling catheters are a known risk factor for urinary tract infections and should be avoided if possible.
B. Collecting blood cultures is an important diagnostic step, especially if sepsis is suspected. However, this action alone does not directly reduce the risk of septic shock. It is a part of the process but not the most immediate intervention.
C. Initiating intravenous (IV) antibiotics is the most critical intervention to reduce the risk of septic shock. Prompt administration of antibiotics can help control the infection before it progresses to sepsis, making this the priority action.
D. Obtaining placement of an intravenous access for fluid administration is necessary for managing sepsis or septic shock, but the first step should be administering antibiotics to treat the infection causing the sepsis. Fluid administration supports blood pressure and circulation but does not directly address the underlying infection.

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

Explanation

Sodium level: The client's sodium level is significantly elevated (157 mEq/L), indicating hyponatremia. This is a critical finding that needs to be addressed promptly to prevent serious complications such as seizures and coma.

Heart rate: While the heart rate is slightly elevated, it is not as urgent a concern as the sodium level. Once the sodium level is stabilized, the nurse can address the heart rate if it remains elevated.

A. Instruct the client to take pain-relieving medications. B. Collect a basic metabolic panel (BMP) specimen from the client. C. Obtain information about the client's recent sexual experiences. D. Inform the client about pelvic ultrasound procedure.

Correct Answer is C

Explanation

A. Pain-relieving medications may be appropriate for symptom management but do not address the need for diagnosis or treatment of gonorrhea exposure.
B. A basic metabolic panel (BMP) is not relevant to the diagnosis or management of gonorrhea. Testing for sexually transmitted infections (STIs) requires specific diagnostic tests.
C. Obtaining information about the client's recent sexual experiences is crucial for assessing risk factors, guiding testing, and determining appropriate treatment for gonorrhea.
D. A pelvic ultrasound is not typically the initial step in managing gonorrhea exposure. It might be used to assess complications but is not relevant for initial assessment or treatment.

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An immunocompromised older adult has developed a urinary tract infection, and the healthcare team recognizes the need to prevent an exacerbation of the client's infection that could result in sepsis and septic shock. What action should the nurse perform to reduce the client's risk of septic shock?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a 58-year-old client admitted with reports of increased urination and thirst. Exhibits Complete the following sentence by using the lists of options. The nurse should first address the client's dropdown followed by the client's dropdown

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

Explanation

A nurse in a clinic is caring for a female client who was exposed to gonorrhea. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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