Trimethoprim and sulfamethoxazole (Bactrim) BID for 7 days is ordered for a patient who has a recurrent relapse of an Escherichia coli UTI. The nurse instructs the patient to

increase the eﬀectiveness of the drug by taking it with cranberry juice to acidify the urine.

take two of the pills a day for 5 days and reserve the rest of the pills to take it the symptoms reappear.

take the antibiotic for the full 7 days, even if symptoms improve in a few days.

return to the clinic in 3 days so that a urine culture can be done to evaluate the eﬀectiveness of the drug.

Answer and Explanation

The Correct Answer is C

The nurse's instruction to the patient is to take the antibiotic for the full 7 days, even if symptoms improve in a few days. This is because the full course of antibiotics is needed to eliminate the bacteria causing the UTI, even if the patient starts to feel better before the end of the treatment course. Failure to complete the full course of antibiotics can lead to the development of antibiotic resistance and the recurrence of the infection. The other options are not appropriate or eﬀective measures for managing a UTI with antibiotics.

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Correct Answer is B

Explanation

Counting sponges, needles, and surgical instruments is an intraoperative activity that is specific to the circulating function of the perioperative nurse. The nurse is responsible for maintaining an accurate count of all surgical items to prevent leaving any foreign objects inside the patient after the surgery. This is a crucial task to ensure patient safety and prevent any potential complications that may arise from such errors.

Option a. admitting, identifying, and assessing the patient, is a preoperative function that is usually performed by the preoperative nurse.

Option c. passing instruments to the surgeon and assistants, is a scrub nurse function that requires knowledge of the surgical procedure and a sterile technique.

Option d. preparing the instrument table and sterile equipment is also a scrub nurse function that requires expertise in sterile technique, knowledge of surgical procedures, and the ability to maintain a sterile environment.

A. The patient has a urine output of 800 ml/hr. B. The patient is confused and lethargic. C. The patient's urine specific gravity is 1.003. D. The patient had a recent head injury.

Correct Answer is B

Explanation

Diabetes insipidus is a condition where the body is not able to regulate water balance properly, leading to excessive urine output and dehydration. The patient's urine output of 800 ml/hr (option A) and low urine specific gravity of 1.003 (option C) is consistent with diabetes insipidus and requires monitoring, but they are not as immediately concerning as the patient's confusion and lethargy.

Confusion and lethargy may indicate severe dehydration, electrolyte imbalances, or even brain swelling (if the patient had a recent head injury, as mentioned in option D). These symptoms require immediate attention to prevent further complications and ensure the patient's safety.

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Trimethoprim and sulfamethoxazole (Bactrim) BID for 7 days is ordered for a patient who has a recurrent relapse of an Escherichia coli UTI. The nurse instructs the patient to

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

One of the intraoperative activities that are performed by the perioperative nurse and are specific to the circulating function is:

Correct Answer is B

Explanation

Which of the information below obtained when caring for a patient who has been admited for evaluation of diabetes insipidus will be of greatest concern to the nurse?

Correct Answer is B

Explanation

A patient is taking high doses of prednisone to control the symptoms of acute exacerbation of systemic lupus erythematosus. When teaching the patient about the use of prednisone, which information is important for the nurse to include?

A 67-year-old patient tells the nurse, “l have problems with constipation now that I am older, so I use a suppository every morning” The most appropriate nursing action at this time is to

When admitting a patient with a stroke who is unconscious and unresponsive to stimuli. The nurse learns from the patient’s family that the patient has a history of GERD, the nurse will plan to do frequent assessment of the patient’s:

A patient with chronic atrophic gastritis was prescribed monthly Cobalamin (B12) injections The determines that teaching regarding the injections has been eﬀective when the patient States:

A patient is admitted to the hospital in Addisonian Crisis a month after a diagnosis of Addison’s disease. The nurse identifies the nursing diagnosis of ineﬀective therapeutic regimen management related to lack of knowledge of management of the condition when the patient says:

A client is taking furosemide (Lasix), a diuretic. and becomes confused. Which potassium level does the nurse correlate with this condition?

A patient with crushing syndrome is admited to the hospital to have laparoscopic adrenalectomy. During the admission assessment, the patient tells the nurse "The worst thing about this disease is how terrible I look; I feel awful about it.' The best response by the nurse is:

A patient with primary hyperparathyroidism has a serum calcium level of 14 mg/dl (3.5 mmol/L), phosphorus of 1.7 mg/dl (55 mmol/L), serum creatinine of 2.2 mg/dl (194 mmol/L). and high urine calcium. While the patient awaits surgery, the nurse should: