The nurse continues to care for the client.
Which of the following actions should the nurse take? Select all that apply.
Vaginal culture
Obtain provider prescription for antibiotics
Ibuprofen 600 mg every 6 hr for mild to moderate pain
Obtain provider prescription for phenazopyridine
Urine culture
Correct Answer : B,D,E
A. The client’s symptoms (burning with urination, pain) and urinalysis findings are indicative of a urinary tract infection (UTI), which is typically caused by bacteria in the urinary tract. There are no clear indications of a vaginal infection (e.g., discharge, odor, or other symptoms specific to vaginal infections), so a vaginal culture is not needed for this clinical scenario.
B. The client’s symptoms and laboratory results (positive leukocyte esterase, WBC casts, cloudy urine) strongly suggest a UTI, and the elevated WBC count further confirms infection. Antibiotics are the primary treatment for a urinary tract infection. For pregnant clients, it is crucial to select antibiotics that are safe in pregnancy, as untreated UTIs can lead to preterm labor, kidney infections (pyelonephritis), and fetal complications.
C. Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that is generally contraindicated during pregnancy, especially in the third trimester, due to its potential for causing premature closure of the ductus arteriosus, renal complications, and increased bleeding risk. Alternative pain management strategies should be used in pregnancy.
D. Phenazopyridine is a urinary analgesic that can be used to relieve the pain, burning, and discomfort associated with UTIs. However, it is generally not recommended during pregnancy, especially in the first trimester, and should only be used in pregnancy if prescribed by a healthcare provider. There are potential concerns with the safety of phenazopyridine in pregnancy, and it should not be administered without a provider's approval.
E. A urine culture is a diagnostic test that can confirm the presence of a urinary tract infection and
identify the specific bacteria responsible for the infection. Given the client’s symptoms and positive findings on urinalysis, a urine culture should be obtained to help guide the choice of appropriate antibiotics. This will help ensure the effective treatment of the infection and prevent complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Inserting a pillow under the knees can lead to pressure on the lower abdomen, potentially compromising blood flow.
B. The lithotomy position may not be appropriate for placental blood flow.
C. Reverse Trendelenburg may increase blood pressure and affect placental perfusion.
D. Placing a wedge under the client's hip is a common technique to prevent supine hypotension syndrome, which could compromise placental blood flow.
Correct Answer is D
Explanation
A. Elevating the arm may reduce blood flow and make vein access more difficult.
B. The tourniquet should be applied above the venipuncture site, not below, to engorge the veins.
C. The dominant arm may be more difficult to access due to muscle use; the non-dominant arm is often easier for vein insertion.
D. Selecting a vein that is palpable and straight provides the best chance for successful and comfortable catheter insertion.
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