The nurse is caring for a client with a diagnosis of urinary tract infection. The physician has ordered an antibiotic. What is the priority prior to administering this medication?

Obtain a platelet count

Obtain a blood pressure

Obtain a urine specimen for culture and sensitivity

Obtain a PTT

Answer and Explanation

The Correct Answer is C

A. Obtain a platelet count: Platelet count is not routinely required before antibiotics for a UTI.
B. Obtain a blood pressure: Blood pressure is not a priority for a UTI but might be checked for other reasons.
C. Obtain a urine specimen for culture and sensitivity: This is the most important step. Culturing the urine helps identify the specific bacteria causing the infection and determine the most effective antibiotic. Knowing the sensitivity profile helps select the antibiotic most likely to work against that particular bacteria.
D. Obtain a PTT: PTT (partial thromboplastin time) is not routinely required before antibiotics for a UTI.

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Correct Answer is D

Explanation

Respiratory acidosis: This is not a typical side effect of metformin.
B. Hyperlipidaemia: Metformin might not directly cause significant hyperlipidaemia.
C. Hypertension: Metformin doesn't typically cause hypertension.
D. Lactic acidosis: This is a rare but serious complication of metformin therapy. It can occur if metformin accumulates in the body due to impaired kidney function or other factors. Monitoring for signs and symptoms is crucial.

A. "I can quit taking this medication when I feel better." B. "I cannot smoke while taking this medication." C. "I cannot drive while taking this medication." D. "I need to take this medication until it is gone."

Correct Answer is D

Explanation

A. "I can quit taking this medication when I feel better.": Incorrect. Antibiotics should be taken for the full prescribed duration to ensure the infection is fully treated and to prevent resistance.
B. "I cannot smoke while taking this medication.": Incorrect. While smoking cessation is generally beneficial for health, it is not specifically contraindicated with clarithromycin.
C. "I cannot drive while taking this medication.": Incorrect. Clarithromycin does not typically impair the ability to drive.
D. "I need to take this medication until it is gone.": Correct. This statement indicates understanding that the entire course of antibiotics should be completed to ensure effectiveness and prevent resistance.

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The nurse is caring for a client with a diagnosis of urinary tract infection. The physician has ordered an antibiotic. What is the priority prior to administering this medication?

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Naxlex Comprehensive Predictor Exams

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Explanation

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Explanation

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