The nurse continues to care for the client.

Exhibits

Which of the following actions should the nurse take? Select all that apply.

Vaginal culture

Obtain provider prescription for antibiotics

Ibuprofen 600 mg every 6 hr for mild to moderate pain

Obtain provider prescription for phenazopyridine

Urine culture

Answer and Explanation

Correct Answer : B,D,E

A.   The client’s symptoms (burning with urination, pain) and urinalysis findings are indicative of a urinary tract infection (UTI), which is typically caused by bacteria in the urinary tract. There are no clear indications of a vaginal infection (e.g., discharge, odor, or other symptoms specific to vaginal infections), so a vaginal culture is not needed for this clinical scenario.
B.   The client’s symptoms and laboratory results (positive leukocyte esterase, WBC casts, cloudy urine) strongly suggest a UTI, and the elevated WBC count further confirms infection. Antibiotics are the primary treatment for a urinary tract infection. For pregnant clients, it is crucial to select antibiotics that are safe in pregnancy, as untreated UTIs can lead to preterm labor, kidney infections (pyelonephritis), and fetal complications.
C.   Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that is generally contraindicated during pregnancy, especially in the third trimester, due to its potential for causing premature closure of the ductus arteriosus, renal complications, and increased bleeding risk. Alternative pain management strategies should be used in pregnancy.
D.   Phenazopyridine is a urinary analgesic that can be used to relieve the pain, burning, and discomfort associated with UTIs. However, it is generally not recommended during pregnancy, especially in the first trimester, and should only be used in pregnancy if prescribed by a healthcare provider. There are potential concerns with the safety of phenazopyridine in pregnancy, and it should not be administered without a provider's approval.
E.   A urine culture is a diagnostic test that can confirm the presence of a urinary tract infection and
identify the specific bacteria responsible for the infection. Given the client’s symptoms and positive findings on urinalysis, a urine culture should be obtained to help guide the choice of appropriate antibiotics. This will help ensure the effective treatment of the infection and prevent complications.

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Correct Answer is A

Explanation

A. A light snack before bedtime, such as one containing tryptophan, can help promote sleep.
B. A 1-hour nap during the day could disrupt nighttime sleep patterns and should be avoided, especially in the late afternoon or evening.
C. Performing exercises prior to bedtime could be stimulating and might interfere with the ability to fall asleep.
D. Staying in bed for an hour if unable to fall asleep can reinforce frustration and poor sleep patterns. Instead, the client should get up and engage in a relaxing activity before trying to sleep again.

A. "I should keep the medication in the original container." B. "I can crush the medication and mix with applesauce." C. "I should replace any unused medication every 6 months." D. "I can store the medication in the refrigerator."

Correct Answer is A

Explanation

A. Dabigatran should be kept in its original container because it is sensitive to moisture, and the packaging is designed to protect the medication.
B. Crushing dabigatran can alter its effectiveness and is not recommended.
C. Unused medication does not need to be replaced every 6 months unless expired or damaged.
D. Dabigatran should be stored at room temperature, not in the refrigerator.

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The nurse continues to care for the client. Exhibits Which of the following actions should the nurse take? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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The nurse continues to care for the client.

Exhibits

Which of the following actions should the nurse take? Select all that apply.