In which order will the nurse implement these collaborative interventions prescribed for a patient being admitted who has acute osteomyelitis with a temperature of 101.2° F? (Put a comma and a space between each answer choice [A, B, C, D].)
a. Obtain blood cultures from two sites.
b. Send to radiology for computed tomography (CT) scan of right leg.
c. Administer gentamicin (Garamycin) 60 mg IV.
d. Administer acetaminophen (Tylenol) now and every 4 hours PRN for fever.
ANS:
A, C, D, B
The highest priority for possible osteomyelitis is initiation of antibiotic therapy, but cultures should be obtained before administration of antibiotics. Addressing the discomfort of the fever is the next highest priority. Because the purpose of the CT scan is to determine the extent of the infection, it can be done last.
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