The nurse continues to care for the client.

Exhibits

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

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Naproxen sodium and ibuprofen are nonsteroidal anti-inflammatory drugs (NSAIDs), which increase the risk of bleeding when taken with enoxaparin.
B. Aspirin also increases the risk of bleeding and should be avoided with enoxaparin.
C. Acetaminophen is an analgesic and does not have anticoagulant properties, making it a safer option to use with enoxaparin for pain relief.
D. Ibuprofen is an NSAID, and like other NSAIDs, it increases the risk of bleeding and should be avoided.

A. Crusting of exudate on the incisional line B. Mild swelling under the sutures near the incisional line C. Pink-tinged coloration on the Incisional line D. Partial separation of the upper part of the incisional line

Correct Answer is D

Explanation

A. Crusting of exudate is typical during wound healing and does not require immediate reporting unless other complications arise.
B. Mild swelling is expected, but it should be monitored closely.
C. Pink-tinged coloration is a normal part of healing and does not require reporting unless the incision shows signs of infection or other complications.
D. Partial separation of the incision may indicate a risk for wound dehiscence, which requires immediate provider attention.

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The nurse continues to care for the client. Exhibits Which of the following actions should the nurse take? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who has a new prescription for enoxaparin. Which of the following medications for pain relief should the nurse include in the teaching that can be taken concurrently with enoxaparin?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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The nurse continues to care for the client.

Exhibits

Which of the following actions should the nurse take? Select all that apply.