A nurse is working with a client on the medical unit being treated for a bacterial infection of the urinary tract.
The nurse is preparing to administer the first dose of an antibiotic to a patient admitted for a urinary tract infection. Which most important action should the nurse take prior to administering the antibiotic?
Click on the highlighted text below that best answers the question.
A. Administering a small test dose to determine whether hypersensitivity exists.
B. Having epinephrine available in the event of a severe hypersensitivity reaction.
C. Monitoring the client’s temperature and blood pressure.
D. Obtaining a urine specimen for culture and sensitivity.
Administering a small test dose to determine whether hypersensitivity exists.
Having epinephrine available in the event of a severe hypersensitivity reaction.
Monitoring the client’s temperature and blood pressure.
Obtaining a urine specimen for culture and sensitivity.
The Correct Answer is ["D"]
Choice A rationale: Administering a small test dose is not typically required before giving an antibiotic unless there is a known history of severe allergies. It is more important to identify the causative organism to ensure the appropriate antibiotic is used.
Choice B rationale: Having epinephrine available is a safety measure for potential severe allergic reactions, but it is not the most immediate priority. Ensuring the antibiotic is appropriate for the infection is crucial.
Choice C rationale: Monitoring the client's temperature and blood pressure is important, but it is not the most immediate priority before administering the antibiotic. These parameters should be monitored throughout treatment.
Choice D rationale: Obtaining a urine specimen for culture and sensitivity is the most important action before administering the antibiotic. This ensures that the correct antibiotic is prescribed based on the specific bacteria causing the infection. It helps prevent the use of ineffective antibiotics and reduces the risk of antibiotic resistance.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Intravenous, intramuscular, and intradermal routes bypass the first-pass effect as they do not pass through the liver first.
Choice B rationale
Enteric-coated tablets and capsules are designed to bypass the stomach and dissolve in the intestines, reducing the first-pass effect.
Choice C rationale
The first-pass effect involves the liver metabolizing and inactivating a portion of the medication on its first pass through the liver.
Choice D rationale
Enteral medications, which pass through the digestive system, may require higher doses due to the first-pass effect where the liver metabolizes the medication before it reaches systemic circulation. .
Correct Answer is ["B","C"]
Explanation
Choice A rationale
Furosemide is a loop diuretic that inhibits the sodium-potassium-chloride co-transporter in the thick ascending limb of the loop of Henle. This results in significant loss of potassium in the urine.
Choice B rationale
NaoxGhe is not a recognized diuretic or medication and should not be included in any in-service discussion.
Choice C rationale
Spironolactone is a potassium-sparing diuretic that works by antagonizing the effects of aldosterone in the distal tubules, reducing potassium excretion.
Choice D rationale
"None of the above" is not a medication but rather a non-relevant option in this context.
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