A 26-year-old female client presents to the outpatient clinic with complaints of urinary frequency, urgency, dysuria, and suprapubic discomfort. She reports that symptoms began two days ago and have progressively worsened. The nurse notes the client is afebrile and appears uncomfortable. A urinalysis reveals cloudy urine with a positive nitrite test and moderate leukocyte esterase.
Which nursing intervention is the priority at this time?
Instruct the client to avoid caffeinated beverages and alcohol
Encourage the client to increase oral fluid intake to 2-3 liters per day
Educate the client on proper perineal hygiene and wiping technique
Administer the prescribed antibiotic as ordered
The Correct Answer is D
A. Instruct the client to avoid caffeinated beverages and alcohol — This is helpful in managing symptoms but not the immediate priority.
B. Encourage the client to increase oral fluid intake to 2–3 liters per day — This supports urinary tract health but does not address the active infection directly.
C. Educate the client on proper perineal hygiene and wiping technique — Important for prevention of future infections, but not the most urgent need at this time.
D. Administer the prescribed antibiotic as ordered —The client has clinical signs of a urinary tract infection (UTI) supported by urinalysis findings (positive nitrites and leukocyte esterase). Prompt antibiotic therapy is the priority to relieve symptoms, prevent progression, and treat the infection effectively.
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Related Questions
Correct Answer is A
Explanation
A. This indicates that the client's condition is not improving or that the current interventions are ineffective in promoting activity tolerance. It is a negative outcome and requires a revision in the plan of care to address this issue.
B. This is a positive and desired outcome that shows the client is engaged in their care plan.
C. This indicates that the interventions are effective, and the client is responding positively.
D. This is a favorable outcome demonstrating effective management of the respiratory condition.Top of FormBottom of Form
Correct Answer is A
Explanation
A. Antihypertensive medications, especially those that cause vasodilation or diuresis, can lead to orthostatic hypotension. Teaching the client to rise slowly from a lying or sitting position helps prevent dizziness and falls.
B. Taking blood pressure four times daily is excessive unless specifically directed by a healthcare provider; once daily or periodic checks are typically sufficient.
C. Most antihypertensive medications do not require routine therapeutic drug level monitoring; this is more relevant for drugs like digoxin or anticonvulsants.
D. Using a blood glucose meter is necessary for diabetic management, not for hypertension unless the client is also diabetic.
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