The nurse is assessing a client who reports flank pain, burning with urination and a fever of 104° F (40° C) and the following laboratory findings. Which provider order is the priority for the nurse to include in the discharge education?

Creatinine 1.8 mg/dL

Ref: 0.6-1.3 mg/dL

White blood cell (WBC) 16,000 mm3

Ref: 5,000-10,000 mm3

Platelet count 120,000

Ref: 140,000-400,000

C-Reactive Protein 5 mg/dL

Ref: <1 mg/dL

"You will need to finish the recommended course of antibiotic agents while at home."

Taking frequent baths will help decrease the chance of this happening again."

"You should increase your fluid intake to a least 4 liters per day."

"After using the bathroom, always wipe your perineal area from back to front."

Answer and Explanation

The Correct Answer is A

A. Completing the full course of antibiotics is the priority to eradicate infection and prevent recurrence, sepsis, or worsening renal impairment.

B. Frequent baths actually increase the risk of urinary tract infection (UTI).

C. Adequate fluids are encouraged, but 4 liters/day is excessive and could worsen renal impairment in a client with elevated creatinine.

D. Wiping back to front increases infection risk; the correct teaching is front to back.

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Correct Answer is D

Explanation

A. Scales, redness, and flakes that fall off easily are more consistent with seborrheic dermatitis (dandruff) rather than pediculosis capitis.
B. Patches of redness and alopecia associated with animal contact suggest tinea capitis (fungal infection), not lice.
C. Linear burrows with intense nighttime itching are characteristic of scabies, caused by mites under the skin, not head lice.
D. Tiny, white, clear, or brown oval nits (lice eggs) that adhere firmly to the hair shaft are the hallmark finding of pediculosis capitis, confirming the infestation.

A. "It is important to continue to keep my baby's immunizations current." B. "I may give my baby a bottle of formula in bed at nap-time for comfort." C. "Immediately return to the emergency department if a tube ever falls out." D. Report any incidents of purulent drainage to the health care provider." E. "I can save the leftover antibiotic to use whenever the tubes are draining."

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

Explanation

A. Keeping immunizations up to date, especially pneumococcal and influenza vaccines, helps prevent recurrent ear infections that can lead to complications.
B. Bottles in bed increase the risk of otitis media due to pooling of formula in the nasopharynx and eustachian tube, and should be avoided.
C. Tubes are expected to fall out spontaneously within 6–12 months; this is not an emergency. Parents should simply notify the provider at the next follow-up.
D. Purulent drainage may indicate an infection and should be reported promptly to the health care provider for evaluation and possible treatment.
E. Leftover antibiotics should never be saved or reused without medical direction, as improper use can lead to resistance or ineffective treatment.

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Creatinine 1.8 mg/dL	Ref: 0.6-1.3 mg/dL
White blood cell (WBC) 16,000 mm3	Ref: 5,000-10,000 mm3
Platelet count 120,000	Ref: 140,000-400,000
C-Reactive Protein 5 mg/dL	Ref: <1 mg/dL

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The school nurse is conducting screenings for pediculosis capitis. Which assessment finding most supports a positive finding?

Correct Answer is D

Explanation

The nurse is providing discharge teaching to the parent of a 10-month-old who had tympanostomy tubes (PE tubes) placed. What statement(s) indicate understanding? (Select all that apply).

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

Explanation

The nurse is caring for a client with multiple sclerosis (MS). The client tells the nurse the hardest thing to deal with is the fatigue. When teaching the client how to reduce fatigue, what action should the nurse suggest?

What is the most appropriate question for the nurse to ask to help determine a potential contributing factor when assessing a client recently diagnosed with acute glomerulonephritis?

The nurse is educating staff on factors that affect grief. Which type of influence is most likely to impact a person's expression of grief?

The nurse is planning care for a child who has tinea pedis. Which action should the nurse include in the plan of care?

The nurse is caring for a client who has just returned to the post-surgical unit following cholecystectomy for gallbladder disease. What assessment finding should the nurse immediately report to the health care provider?

The nurse is caring for a client who was admitted to the emergency department after receiving a chemical burn to the eye. What is the priority nursing action for this client?

The nurse is caring for a newly admitted client suspected of having bacterial gastroenteritis with frequent watery diarrhea for several days and has been unable to hold down fluids. All of the following are ordered for the client. What is the priority intervention?

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