The nurse is caring for a client with a diagnosis of urinary tract infection. The physician has ordered an antibiotic. What is the priority prior to administering this medication?

Obtain a platelet count

Obtain a blood pressure

Obtain a urine specimen for culture and sensitivity

Obtain a PTT

Answer and Explanation

The Correct Answer is C

A. Obtain a platelet count: Platelet count is not routinely required before antibiotics for a UTI.
B. Obtain a blood pressure: Blood pressure is not a priority for a UTI but might be checked for other reasons.
C. Obtain a urine specimen for culture and sensitivity: This is the most important step. Culturing the urine helps identify the specific bacteria causing the infection and determine the most effective antibiotic. Knowing the sensitivity profile helps select the antibiotic most likely to work against that particular bacteria.
D. Obtain a PTT: PTT (partial thromboplastin time) is not routinely required before antibiotics for a UTI.

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Correct Answer is B

Explanation

A. Diarrhea: Diarrhea is a common side effect of antibiotics due to their effect on the gut microbiota, but it is not typically indicative of an allergy.
B. Hives or shortness of breath: Hives (urticaria) and shortness of breath are classic symptoms of an allergic reaction. Hives indicate an immediate hypersensitivity reaction, and shortness of breath can indicate a serious allergic reaction such as anaphylaxis. These symptoms warrant caution and further assessment before starting antimicrobial therapy.
C. Headaches: Headaches can be a side effect of various medications but are not a specific sign of a drug allergy.
D. Nausea: Nausea is a common side effect of many medications, including antibiotics, but it does not specifically indicate an allergic reaction.

A. Ask the patient an open-ended question about feelings related to the procedure B. Ask the patient to repeat the information in the insulin pamphlet that was provided C. Have the patient list the steps of the procedure for insulin administration D. Observe as the patient prepares and injects a dose of insulin

Correct Answer is D

Explanation

A. Ask the patient an open-ended question about feelings: This might reveal anxieties but not necessarily confirm understanding of the steps.
B. Ask the patient to repeat the information in the pamphlet: Repeating information doesn't guarantee comprehension of how to perform the task.
C. Have the patient list the steps: This can be helpful, but observing actual performance allows for correcting any errors in technique.
D. Observe as the patient prepares and injects a dose of insulin: Direct observation is the most reliable way to assess if the patient can safely and accurately self-administer insulin.

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The nurse is caring for a client with a diagnosis of urinary tract infection. The physician has ordered an antibiotic. What is the priority prior to administering this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Before starting antimicrobial therapy, the nurse assesses a patient for possible drug allergy. Which of the following complaints should alert the nurse to a drug allergy?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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