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 D

Explanation

A: An indwelling urinary catheter is unnecessary for monitoring unstable angina and would not address the client’s immediate cardiac concerns.

B: Although evaluating perfusion is important, administering aspirin is a higher priority to prevent further damage from potential myocardial ischemia.

C: Obtaining consent for coronary angiography and percutaneous coronary intervention is important but should follow the administration of aspirin and other emergency interventions.

D: Aspirin is commonly given in suspected ACS to reduce platelet aggregation and prevent further clot formation. Chewing the aspirin improves its absorption and effectiveness in managing the acute event.

A. Identify information as late entry in the record. B. Print electronic medical record (EMR) from backup server. C. Notify Information services department of the situation. D. Wait for notification that the system has been rebooted.

Correct Answer is C

Explanation

A. Identify information as late entry in the record. This action would only be necessary after the issue is resolved and documentation is restored.
B. Print electronic medical record (EMR) from backup server. While printing from the backup server is an option, notifying IT should be done first to address the root cause of the issue.
C. Notify Information services department of the situation. The IT department can assist in troubleshooting the issue and restoring the system to normal function.
D. Wait for notification that the system has been rebooted. It’s important to act proactively by notifying IT to help resolve the problem.

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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

A client with a history of unstable angina presents to the emergency department with constant chest pressure that is unrelieved with rest. The client appears anxious, pale, and diaphoretic. After obtaining the client's vital signs, which action should the nurse take next?

Correct Answer is D

Explanation

After a scheduled downtime, the computer documentation system fails to restart. Which action should the nurse take first?

Correct Answer is C

Explanation

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