A client presents to the emergency department with complaints of urinary frequency, dysuria, and fever. Which of the following orders should the nurse carry out first?

Prepare the client for a CT scan

Begin broad spectrum antibiotics

Insert a Foley catheter

Obtain samples for urine culture and urinalysis

Answer and Explanation

The Correct Answer is D

A. Prepare the client for a CT scan is not the first priority in this case. A CT scan might be considered if there is suspicion of complications like a kidney stone or abscess, but it is not the first intervention.
B. Begin broad spectrum antibiotics could be considered if a urinary tract infection (UTI) is suspected, but obtaining urine samples for culture and urinalysis is necessary first to confirm the diagnosis and guide antibiotic therapy.
C. Insert a Foley catheter is not indicated unless the patient is unable to void or there is a need for continuous monitoring of urine output, but it is not the first step.
D. Obtain samples for urine culture and urinalysis is the first step to confirm the diagnosis of a urinary tract infection (UTI) and determine the appropriate treatment. This will help guide the selection of antibiotics.

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Correct Answer is ["75"]

Explanation

Total volume: 1800 mL
Infusion time: 24 hours
Calculation: 1800 mL / 24 hours = 75 mL/hour

Therefore, the IV pump should be set to deliver 75 mL/hr.

Correct Answer is ["300"]

Explanation

· Calculate the time elapsed: From 0330 to 0600 is 2.5 hours.

· Calculate the total volume infused: 2.5 hours X 120 mL/hour = 300 mL

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A client presents to the emergency department with complaints of urinary frequency, dysuria, and fever. Which of the following orders should the nurse carry out first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer total parental nutrition (TPN) 1800 mL to infuse over 24 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["75"]

Explanation

A nurse is caring for a client who had IV fluids initiated at 0330. The IV fluids are infusing at 120 mL/hr. The nurse should record how many mL of IV fluids on the intake record at 0600?

Correct Answer is ["300"]

Explanation

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