The nurse is preparing to administer the first dose of an antibiotic to a patient admitted for pneumonia. What is the most important action to take prior to administering the antibiotic?
Collect a urine sample.
Ensure the patient is on a cardiac monitor.
Collect a blood culture sample.
Check baseline vital signs, including temperature.
The Correct Answer is C
Choice A rationale
While collecting a urine sample can be important in diagnosing certain conditions, it is not the most important action to take prior to administering an antibiotic for pneumonia.
Choice B rationale
Ensuring the patient is on a cardiac monitor is not the most crucial action prior to administering an antibiotic for pneumonia. While it’s important to monitor the patient’s vital signs, it’s not specifically related to the administration of antibiotics.
Choice C rationale
Collecting a blood culture sample is the most important action to take prior to administering an antibiotic for pneumonia. This is to identify the specific bacteria causing the infection, which can help in selecting the most effective antibiotic.
Choice D rationale
Checking baseline vital signs, including temperature, is important but not the most crucial action prior to administering an antibiotic for pneumonia. It’s part of the overall assessment but does not directly impact the choice or effectiveness of the antibiotic.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Monitoring blood pressure for hypertension during the infusion is important, but it is not the primary measure to reduce complications with vancomycin administration3.
Choice B rationale
Restricting fluids during vancomycin therapy is not recommended. Adequate hydration is important when receiving vancomycin to prevent kidney damage3.
Choice C rationale
Infusing the drug over at least 1 hour is the most crucial measure to reduce complications that may occur with vancomycin administration. This is to prevent “red man syndrome,” a reaction that can cause flushing, rash, and hypotension3.
Choice D rationale
Discontinuing the drug immediately if red man syndrome occurs is not the primary measure. The infusion can often be slowed down or temporarily stopped to manage this reaction3.
Correct Answer is D
Explanation
Choice A rationale
Tuberculous meningitis is a serious condition, but it is not a contraindication for the use of prednisone.
Choice B rationale
Chronic obstructive pulmonary disease (COPD) is not a contraindication for prednisone. In fact, prednisone is often used to treat exacerbations of COPD56.
Choice C rationale
Cerebral edema is not a contraindication for prednisone. Prednisone is sometimes used to reduce inflammation and swelling in the brain.
Choice D rationale
Peptic ulcer disease is a contraindication for the use of prednisone. Prednisone can increase the risk of peptic ulcers by increasing stomach acid secretion and decreasing the production of protective mucus in the stomach.
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