A client is admitted with a fever of 102.80 F (39.30 C), origin unknown. Assessment reveals cloudy, foul-smelling urine that is dark amber in color. Orders have just been written to obtain stat urine and blood cultures and to administer an antibiotic intravenously. The nurse will complete these orders in which sequence?

Blood and urine cultures, antibiotic dose

Blood culture, antibiotic dose, urine culture

Antibiotic dose, blood and urine cultures

Urine culture, antibiotic dose, blood culture

Answer and Explanation

The Correct Answer is A

Blood and urine cultures ca be collected in whichever order. However, they should be taken before antibiotic therapy. Giving antibiotic before sample collection interferes with the identification of the causative agents.

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Correct Answer is C

Explanation

A, B and D- The phenomenon is not related to the liver’s ability to metabolize the drug and its is not a fluctuating phenomenon

A. Alcohol increases the chance of phenytoin toxicity. B. Take an antacid with the medication if indigestion occurs. C. Avoid flossing the teeth to prevent gum irritation. D. Phenytoin turns urine blue.

Correct Answer is A

Explanation

A. alcohol interacts with phenytoin leading to CNS depression
B. Antacids reduces the oral absorption of phenytoin
C. Phenytoin causes gingival hyperplasia and the client should maintain good oral hygiene to prevent secondary infection
D. Phenytoin can turn urine red but not blue.

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Naxlex Comprehensive Predictor Exams

When treating clients with medications for Parkinson's disease, the nurse knows that the wearing-off phenomenon occurs for which reason?

Correct Answer is C

Explanation

A nurse is providing teaching to a client who has seizures and a new prescription for phenytoin. Which of the following information should the nurse provide?

Correct Answer is A

Explanation

A client wants to take the herb gingko to help his memory. The nurse reviews his current medication list and would be concerned about potential interactions if he is taking a medication from which class of drugs?

A client who has received some traumatic news is panicking and asks for some medication to help settle down. The nurse anticipates giving which drug that is most appropriate for this situation?

A nurse is teaching a client who has schizophrenia strategies to cope with anticholinergic effects of fluphenazine. Which of the following should the nurse suggest to the client to minimize anticholinergic effects?

A client who has been taking cimetidine for hyperacidity calls the clinic to say that the medication has not been effective. The nurse reviews his history and notes that which factor may be influencing the effectiveness of this drug?

The nurse is caring for a client experiencing sympathetic nervous system stimulation. What assessment finding supports this diagnosis? Select all that apply.

A nurse is administering nasal decongestant drops for a client. Which of the following actions should the nurse take?

The nurse recognizes that adrenergic drugs cause relaxation of the bronchi and bronchodilation by stimulating which type of receptors?

When a client is taking an anticholinergic such as benztropine as part of the treatment for Parkinson's disease, the nurse should include which information in the teaching plan?