The nurse continues to care for the client.
Which of the following actions should the nurse take? Select all that apply.
Urine culture
Vaginal culture
Ibuprofen 600 mg every 6 hr for mild to moderate pain
Obtain provider prescription for phenazopyridine
Obtain provider prescription for antibiotics
Correct Answer : A,B,D,E
A. Urine culture: The client has fever (38.4°C), dysuria, leukocyte esterase, and WBC casts in the urine, suggesting a urinary tract infection (UTI) or pyelonephritis. A urine culture is necessary to identify the causative organism and guide antibiotic therapy.
B. Vaginal culture: The client has preterm contractions and a history of preterm birth. Infections (e.g., bacterial vaginosis, Group B Streptococcus, sexually transmitted infections) can trigger preterm labor. A vaginal culture can help determine if an infection is contributing to labor symptoms.
C. Ibuprofen 600 mg every 6 hr for mild to moderate pain: NSAIDs (e.g., ibuprofen) are contraindicated in pregnancy after 30 weeks gestation because they can cause premature closure of the ductus arteriosus, leading to fetal circulation issues and increase the risk of oligohydramnios (low amniotic fluid levels) by reducing fetal kidney function. Instead, acetaminophen (Tylenol) is preferred for pain relief in pregnant clients.
D. Obtain provider prescription for phenazopyridine: Phenazopyridine is a urinary analgesic used to relieve dysuria and bladder discomfort. This medication does not treat the infection but provides symptomatic relief while waiting for antibiotics to take effect.
E. Obtain provider prescription for antibiotics: The presence of WBC casts, fever, and positive leukocyte esterase suggests a UTI, possibly progressing to pyelonephritis. Prompt antibiotic therapy is critical to prevent complications such as preterm labor, maternal sepsis, or fetal distress.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Even lifting objects under 10 lbs should be avoided to prevent increased intraocular pressure.
B. The client should avoid bending at the waist, as it increases pressure on the eye.
C. Reading and light activities like sewing are permitted as they do not increase intraocular pressure.
D. Strenuous activities like jogging are contraindicated for several weeks to prevent retinal detachment recurrence.
Correct Answer is C
Explanation
A. Incorrect – Pancreatic enzymes are used for cystic fibrosis, not epiglottitis.
B. Incorrect – Frequent swallowing can indicate bleeding, which is more concerning post-tonsillectomy than in epiglottitis.
C. Correct – Epiglottitis is a medical emergency that can cause airway obstruction. Continuous monitoring is essential.
D. Incorrect – Suctioning the oropharynx can worsen airway obstruction and should be avoided.
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