The nurse continues to care for the client.
Which of the following actions should the nurse take? Select all that apply.
Obtain a provider order for vaginal/anal culture.
Obtain a provider prescription for antibiotics.
Obtain a provider prescription for ibuprofen 600 mg every 6 hr for mild to moderate pain.
Obtain a provider prescription for phenazopyridine.
Obtain a provider order for a urine culture.
Correct Answer : B,D,E
A. Obtain a provider order for vaginal/anal culture: A vaginal or anal culture is not indicated at this time because the client’s symptoms—dysuria, urinary frequency, and positive leukocyte esterase—are consistent with a urinary tract infection rather than a sexually transmitted infection or perianal infection.
B. Obtain a provider prescription for antibiotics: The client demonstrates signs of a urinary tract infection, including dysuria, positive leukocyte esterase, elevated WBC count, and cloudy urine. Prompt initiation of antibiotics is important in pregnancy to prevent complications such as pyelonephritis and preterm labor.
C. Obtain a provider prescription for ibuprofen 600 mg every 6 hr for mild to moderate pain: Ibuprofen is generally avoided during the third trimester because it can cause premature closure of the fetal ductus arteriosus and oligohydramnios. Alternative analgesics that are safe in pregnancy should be used instead.
D. Obtain a provider prescription for phenazopyridine: Phenazopyridine is a urinary analgesic that can help relieve dysuria and urinary discomfort while the client awaits antibiotic therapy. It does not treat the infection itself but improves client comfort.
E. Obtain a provider order for a urine culture: A urine culture is indicated to confirm the presence of infection and identify the causative organism. This ensures that antibiotic therapy can be tailored appropriately, which is especially important in pregnancy to reduce maternal and fetal complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Temperature 37.4° C (99.3° F): This is a mild elevation and within normal limits for a laboring client. Slight temperature increases can occur due to physical exertion and are not typically concerning.
B. Early decelerations in the FHR: Early decelerations are usually benign and mirror uterine contractions, reflecting fetal head compression. They are not an indication for immediate intervention.
C. Contractions lasting 80 seconds: Normal uterine contractions in active labor typically last 45–80 seconds. While the upper limit of 80 seconds is noted, this alone does not require urgent reporting if the contraction pattern and fetal response remain reassuring.
D. FHR baseline 170/min: A baseline fetal heart rate above 160/min indicates fetal tachycardia, which can result from maternal infection, fetal hypoxia, or other complications. This finding requires prompt notification of the provider for further evaluation and potential intervention.
Correct Answer is C
Explanation
A. Have the client store smaller tanks under his bed: Storing oxygen tanks under the bed poses a serious fire hazard and increases the risk of accidental tipping or damage. Proper storage requires a stable, upright position in a well-ventilated area away from flammable materials.
B. Ensure that the client checks the gauge weekly: Oxygen tanks should be checked daily to ensure adequate supply and to prevent sudden depletion. Waiting a week between checks could result in unexpected oxygen interruption, which is unsafe for clients dependent on supplemental oxygen.
C. Place the oxygen tank away from curtains or drapes: Oxygen supports combustion, and placing tanks near flammable materials such as curtains, drapes, or open flames increases the risk of fire. Proper placement in a clear, ventilated area is a critical safety measure for home oxygen therapy.
D. Store the oxygen tank wrench in a locked cabinet: While securing equipment is generally safe, the oxygen tank wrench must be readily accessible in case of emergency or the need to quickly turn off the oxygen. Locking it away could delay urgent intervention.
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