A 72-year-old client is admitted to the hospital with a diagnosis of acute exacerbation of diverticulitis.

The healthcare practitioner prescribes the IV antibiotic ceftazidime.

After confirming the client's allergies, which intervention should the nurse implement NEXT before giving the drug?

Assess the client's vital signs.

Determine if the client's IV is patent.

Monitor the client's white blood count.

Send a stool specimen to the laboratory.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Assessing the client's vital signs is important for monitoring overall health but does not directly address the need to ensure proper IV function before administering medication.

Choice B rationale

Determining if the client's IV is patent is crucial before administering any IV medication. A patent IV ensures the medication will be delivered directly into the bloodstream without complications such as infiltration or blockage.

Choice C rationale

Monitoring the client's white blood count is important for tracking infection or inflammation but is not the immediate step before administering an IV antibiotic.

Choice D rationale

Sending a stool specimen to the laboratory can help diagnose underlying conditions but is not the next step before administering an IV antibiotic.

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Correct Answer is D

Explanation

Choice A rationale

Pain relieved by eating food is more characteristic of duodenal ulcers rather than gastric ulcers. Gastric ulcers typically cause pain shortly after eating due to the stomach's exposure to gastric acid and food content.

Choice B rationale

Pain occurring at night can be associated with both duodenal and gastric ulcers. However, it is not as distinctive for gastric ulcers as the timing relative to meals.

Choice C rationale

Pain always on the left side is not a typical presentation for gastric ulcers, as the location can vary and is often associated with the mid-epigastric area rather than a specific side.

Choice D rationale

Pain occurring 30 minutes after eating is consistent with gastric ulcers. This timing reflects the direct irritation of the ulcerated gastric mucosa by the ingested food and gastric acid.

A. Where do you buy your food. B. Does someone else prepare your meals. C. Tell me what you eat in a typical day. D. Are you taking any medications that change your taste of foods.

Correct Answer is C

Explanation

Choice C rationale

Assessing "Tell me what you eat in a typical day" provides a comprehensive understanding of the client's daily nutritional intake, which helps identify any dietary deficiencies, imbalances, or patterns that may contribute to malnutrition. This detailed information can guide interventions to improve the client's nutritional status and overall health.

Choice A rationale

Assessing "Where do you buy your food" may not provide sufficient information about the nutritional quality of the client's diet or their daily intake. While food sources can influence diet, this question does not directly address the client's nutritional habits and needs.

Choice B rationale

Assessing "Does someone else prepare your meals" is relevant to understanding the client's dependency and potential barriers to nutrition but does not directly reveal what the client is consuming. This information is secondary to understanding the actual dietary intake.

Choice D rationale

Assessing "Are you taking any medications that change your taste of foods" can help identify potential barriers to adequate nutrition, but it does not provide a complete picture of the client's dietary habits and nutritional intake, which is crucial for assessing malnutrition risk.

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A 72-year-old client is admitted to the hospital with a diagnosis of acute exacerbation of diverticulitis. The healthcare practitioner prescribes the IV antibiotic ceftazidime. After confirming the client's allergies, which intervention should the nurse implement NEXT before giving the drug?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is recording data obtained from a client's admission assessment. Which notation is most consistent with the presence of a gastric ulcer? The client states that pain:

Correct Answer is D

Explanation

The nurse is assessing an alert and independent older client for the risk of malnutrition. What item is most appropriate to assess?

Correct Answer is C

Explanation

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A 72-year-old client is admitted to the hospital with a diagnosis of acute exacerbation of diverticulitis.

The healthcare practitioner prescribes the IV antibiotic ceftazidime.

After confirming the client's allergies, which intervention should the nurse implement NEXT before giving the drug?