An adult is admitted with acute flank pain, a 102° F (38.9° C) oral temperature, hematuria, dysuria, urgency, and fishy-smelling urine. Which admitting prescription(s) are most important for the nurse to implement? Select all that apply.
Give diphenhydramine prep for intravenous pyelogram.
Obtain clean catch urine for culture and sensitivity.
Force oral fluids to 2,000 mL/24 hours.
Initiate broad spectrum IV antibiotic as secondary infusion.
Collect a serum sample for hemoglobin and hematocrit.
Correct Answer : B,D
A. Diphenhydramine is unnecessary for diagnosing pyelonephritis.
B. Urine culture confirms bacterial infection and guides antibiotic therapy.
C. Forcing fluids may help but is not the priority over antibiotics and cultures.
D. Broad-spectrum IV antibiotics are critical to treat systemic infection.
E. Hemoglobin and hematocrit are not priority tests for pyelonephritis.
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Related Questions
Correct Answer is C
Explanation
A: While the spacer can reduce the risk of mouth infections, its primary purpose is to improve medication delivery to the lungs.
B: The spacer does not slow down the medication’s entry into the lungs, but it does enhance its delivery.
C: The spacer helps ensure that more medication reaches the lungs by holding the medication in the chamber before the client inhales it. This increases the effectiveness of the inhaler and reduces the risk of side effects, like oral thrush.
D: The spacer does not slow down inhalation to allow the client to inhale the entire dose. Instead, it holds the medication to ensure more is inhaled.
Correct Answer is ["A","B","D","E"]
Explanation
A. Bradykinesia (slowness of movement) is a hallmark symptom of Parkinson's disease and will directly affect the client's mobility, requiring intervention to assist with movement and prevent falls.
B. Stooped posture is common in Parkinson's disease and can contribute to impaired balance and increase the risk of falls, making interventions for posture and mobility necessary.
C. Orthostatic hypotension is not specifically a mobility issue, but it can affect the client's overall safety and risk for falls. It may require monitoring and interventions to address blood pressure changes, but it is not as directly related to mobility as the other symptoms.
D. Shuffling, propulsive gait is a typical motor symptom of Parkinson's disease and increases the risk of falls, necessitating planning for interventions to improve gait and balance.
E. Muscular rigidity is another classic symptom that can limit the client's mobility, causing difficulty with movement, and requires interventions to improve range of motion and reduce stiffness.
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