A client comes to the emergency department with a fever of 104° F. What will the best plan by the nurse include?
1. Plan to obtain liver and renal function tests.
2. Plan to obtain a complete blood count (CBC) test.
3. Plan to obtain a sterile urine specimen.
4. Plan to obtain blood for culture and sensitivity.
Correct Answer: 4
Rationale 1: Liver and renal function tests will not identify the causative organism.
Rationale 2: The CBC will reveal the impact of infective agents on the immune system, but will not identify the agent.
Rationale 3: Obtaining a urine specimen is not the best method of determining this client's infective agent.
Rationale 4: A high fever is usually indicative of a systemic infection. Blood cultures are the best way of identifying the causative organism.
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