Exhibits
Drag words from the choices below to fill in each blank in the following sentence.
The nurse should anticipate a provider's prescription for a(n)
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}
Rationale for Correct Choices:
- Intravenous antibiotic: The client exhibits signs of postpartum infection, most consistent with endometritis—elevated WBC count, low-grade fever, uterine tenderness, foul-smelling lochia, and a history of prolonged rupture of membranes and cesarean delivery. IV antibiotics are the first-line treatment to control uterine infection and prevent sepsis.
- Increase in daily fluid intake: Maintaining adequate hydration is essential to support tissue perfusion and aid in the clearance of infection. Fever and elevated WBCs increase metabolic demands, so increased fluid intake can help mitigate dehydration and support antibiotic therapy.
Rationale for Incorrect Choices:
- Kleihauer-Betke test: This test detects fetal-to-maternal hemorrhage, typically used after trauma or suspected placental abruption. It is not indicated in cases of suspected postpartum infection.
- Intrauterine tamponade balloon: This intervention is used for managing postpartum hemorrhage due to uterine atony or trauma, not infection. The client’s bleeding is moderate and not indicative of uncontrolled hemorrhage.
- Tocolytic medication: Tocolytics are used to suppress premature labor and have no role in postpartum care, especially in the presence of infection, where uterine relaxation could worsen outcomes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Aspirin 1 tablet daily: This prescription is incomplete because it does not specify the dosage in milligrams or the route of administration, which are essential for safe medication administration.
B. Metoprolol 5 mg IV now: This is a complete prescription as it includes the medication name, exact dosage (5 mg), route (IV), and timing (now), meeting all criteria for safe administration.
C. Furosemide 20 mg BID: Although the dose and frequency are included, the prescription is incomplete without specifying the route (e.g., oral or IV), which is necessary for clarity and safety.
D. Nitroglycerin transdermal patch: This order is incomplete as it does not include the dosage, frequency of application, or duration of use, all of which are critical components of a complete prescription.
Correct Answer is C
Explanation
A. Email the client's health information to the facility in an unencrypted file: Sending unencrypted files by email is a breach of confidentiality and violates HIPAA regulations. Protected health information must be securely transmitted.
B. Discuss the client's response to the transfer with another staff nurse: Unless the staff nurse is directly involved in the client’s care, this discussion would be inappropriate and a violation of the client’s privacy.
C. Provide a verbal report of the client’s condition to the paramedic performing the transfer: Sharing necessary health information with personnel directly involved in the client’s care and transport is appropriate and ensures continuity of care without violating confidentiality.
D. Fax the client's name and identifiable information to the rehabilitation facility: Faxing may be permitted if secured, but the question implies sending identifiable information without confirming secure transmission. This could risk unauthorized disclosure.
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