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.

Answer and Explanation

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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Correct Answer is A

Explanation

A: Controlling blood pressure to less than 140/80 mm Hg is essential for reducing the risk of diabetic retinopathy, which can contribute to blurred vision and other complications.

B: Educating the family about the disease is important, but it does not directly address the client’s blurred vision or its underlying cause.

C: While eye care is important, this outcome does not focus on addressing the underlying issue of blurred vision in a client with diabetes.

D: Although acceptance of health status is important, it is not as directly related to managing the client’s vision issues as controlling blood pressure.

A. Stop the infusions and insert an antecubital IV catheter. B. Continue Infusions as long as catheter flushes easily. C. Aspirate and flush the line until a blood return is obtained. D. Observe the extremity for signs of infiltration. E. Acquire consent for a new PICC line insertion.

Correct Answer is ["B","D"]

Explanation

A. Stopping the infusions and inserting a new catheter may not be necessary at this point unless complications develop.

B. As long as the catheter is flushing easily and the infusions are not causing complications (such as infiltration), it is appropriate to continue using it.

C. Aspirating and flushing the line until a blood return is obtained may cause damage to the catheter or further complications.

D. Monitoring for signs of infiltration is crucial, as the inability to aspirate a blood return may indicate a partial occlusion or other issues with the PICC line.

E. Replacing the PICC line may not be necessary unless more severe complications are observed.

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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.

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Naxlex Comprehensive Predictor Exams

The nurse is developing a plan of care for an older male client with type 2 diabetes who reports blurred vision. Which outcome should the nurse include in the plan of care for this client?

Correct Answer is A

Explanation

Correct Answer is ["B","D"]

Explanation

The nurse is teaching a female client about preventive measures for urinary tract infections (UTI). Which information should the nurse include?

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