Which admission order written by the health care provider for a patient admitted with infective endocarditis (IE) and a fever would be a priority for the nurse to implement?
a. Administer ceftriaxone (Rocephin) 1 g IV.
b. Order blood cultures drawn from two sites.
c. Give acetaminophen (Tylenol) PRN for fever.
d. Arrange for a transesophageal echocardiogram.
ANS: B
Treatment of the IE with antibiotics should be started as quickly as possible, but it is essential to obtain blood cultures before initiating antibiotic therapy to obtain accurate sensitivity results. The echocardiogram and acetaminophen administration also should be implemented rapidly, but the blood cultures (and then administration of the antibiotic) have the highest priority.
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