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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

Choice A rationale

Sulfasalazine is more commonly associated with side effects such as gastrointestinal discomfort and hypersensitivity reactions, rather than causing bruising. Monitoring for bruising is not a specific intervention for this medication.

Choice B rationale

Ensuring the client drinks at least 2000 mL of water daily helps prevent crystal formation in the kidneys, a potential side effect of sulfasalazine. Adequate hydration also supports overall renal function and reduces the risk of kidney stones.

Choice C rationale

Sulfasalazine is usually taken multiple times a day with meals to reduce gastrointestinal side effects and improve absorption. Administering it once a day before breakfast is not the typical dosing schedule.

Choice D rationale

While it is important to monitor the client's stool, steatorrhea (fatty stools) and mucus are not specifically associated with sulfasalazine. The primary focus is on ensuring hydration and monitoring for other side effects such as rash and gastrointestinal discomfort.

A. Most nights I sleep in the family room recliner because I get short of breath lying flat. B. I have been waking up at night sweating and wet all over. C. Lately, I wake up at night with a burning feeling in my chest. D. I have been experiencing headaches immediately after eating. E. Immediately after eating I feel sleepy and want to go to bed.

Correct Answer is ["A","B","C"]

Explanation

Choice A rationale

Shortness of breath while lying flat, known as orthopnea, can indicate worsening heart failure or other serious cardiac conditions. This symptom may suggest fluid buildup in the lungs due to inadequate heart function, requiring immediate medical evaluation.

Choice B rationale

Night sweats and excessive sweating can be associated with cardiac issues such as myocardial infarction or heart failure. These symptoms can indicate that the heart is not effectively pumping blood, leading to increased stress on the body.

Choice C rationale

Burning chest pain at night can be indicative of angina or even a myocardial infarction. Angina often worsens at night due to changes in heart rate and blood pressure during sleep. This symptom warrants prompt cardiac assessment to rule out severe cardiac events.

Choice D rationale

Headaches after eating are not typically associated with cardiac conditions. This symptom is more likely related to gastrointestinal or metabolic issues rather than cardiac problems.

Choice E rationale

Feeling sleepy after eating is usually due to normal postprandial somnolence and is not directly related to cardiac issues. This symptom does not require urgent cardiac evaluation.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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 client with irritable bowel disease (IBD) is prescribed sulfasalazine, a sulfonamide antibiotic. Which intervention should the nurse implement when administering the medication?

Correct Answer is B

Explanation

Correct Answer is ["A","B","C"]

Explanation

The nurse begins a 1000 mL bag of DS 0.45 Saline plus 20 meq of KCl at 125 mL per hour at 1400. The IV is stopped due to signs of infiltration at 1930. How many milliliters will have infused during that time period? Round to the nearest whole number. Do not use trailing zeros.

Which instruction, given to the client by the nurse, is ESSENTIAL in the prevention of the development of colic related to cholecystitis?

The nurse suspects that the client hospitalized with severe ulcerative colitis, may be developing the complication of toxic megacolon. Which assessment finding supports these suspicions?

The nurse receives physician orders for a client who has a suspected small bowel obstruction. Which order(s) should be followed? (SELECT ALL THAT APPLY)

Which finding would most concern the nurse when caring for a client diagnosed with a bowel obstruction?

The nurse is caring for a client in the immediate postoperative period after an open cholecystectomy. Which task could be delegated to an unlicensed nursing assistant?

The nurse is leading a community-based discussion group on pharmacotherapy used in obesity. Which statement(s) made by the participants is/are correct? (SELECT ALL THAT APPLY)

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?