A nurse is admitting a school-age child who has osteomyelitis. Which of the following actions should the nurse take first?
Obtain a blood culture.
Request a referral for physical therapy.
Administer IV antibiotics.
Record intake and output.
The Correct Answer is A
A. Obtain a blood culture. The first action is to obtain a blood culture to identify the causative organism before starting antibiotic therapy. This ensures that the appropriate antibiotic is selected.
B. Request a referral for physical therapy. Physical therapy may be needed later, but it is not the priority during admission.
C. Administer IV antibiotics. Antibiotics should be given after obtaining a blood culture to avoid altering the test results.
D. Record intake and output. While monitoring fluid balance is important, it is not the priority action during admission.
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Related Questions
Correct Answer is C
Explanation
A. Urine output 25 mL/hr – This is an adequate urine output for a school-age child and does not require withholding digoxin.
B. Oxygen saturation 88% – While low, this does not directly indicate digoxin toxicity or require withholding the medication. The underlying cause should be evaluated.
C. Heart rate 64/min – Digoxin can cause bradycardia, and a heart rate of 64/min is too low for a school-age child. Generally, digoxin should be withheld if the heart rate is below 70 bpm in children or below 90 bpm in infants.
D. Respiratory rate 18/min – This is within the normal range for a school-age child and does not warrant withholding digoxin.
Correct Answer is A
Explanation
A. Nause . Gastrointestinal side effects, such as nausea, vomiting, and diarrhea, are common with cefazolin and other cephalosporin antibiotics.
B. Constipation. Cefazolin is more likely to cause diarrhea rather than constipation.
C. Hypertension. Cefazolin does not typically cause hypertension; hypotension may occur in rare cases due to an allergic reaction.
D. Increased appetite. Cefazolin is not known to increase appetite; gastrointestinal discomfort may actually reduce appetite.
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