A client comes to the emergency department complaining of a sore throat. He has white patches on his tonsils, and he has swollen cervical lymph nodes. What will the best plan by the nurse include?
1. Plan to administer a narrow-spectrum antibiotic.
2. Plan to administer a broad-spectrum antibiotic.
3. Plan to obtain blood cultures.
4. Plan to obtain a throat culture.
4
Rationale 1: Initial therapy with a narrow-spectrum antibiotic is too specific without knowing the causative organism.
Rationale 2: A broad-spectrum antibiotic is commonly ordered, but a throat culture should be obtained first.
Rationale 3: Blood cultures are not necessary at this point because the infection is in the throat; it is not systemic.
Rationale 4: A throat culture is necessary to identify the causative organism and initiate the best antibiotic treatment.
Global Rationale: A throat culture is necessary to identify the causative organism and initiate the best antibiotic treatment. Initial therapy with a narrow-spectrum antibiotic is too specific without knowing the causative organism. A broad-spectrum antibiotic is commonly ordered, but a throat culture should be obtained first. Blood cultures are not necessary at this point because the infection is in the throat; it is not systemic.
You might also like to view...
A patient who is 2 days post–myocardial infarction has been eating well, ambulating with assistance, and receiving antibiotics and morphine by IV drip. The patient complains of constipation this morning
The nurse assesses the probable cause of the constipation as: 1. inadequate fluid intake. 2. lack of exercise. 3. administration of antibiotics. 4. administration of an analgesic.
The client is brought to the Emergency Department by the police. There are numerous large areas of bruising around the client's throat and upper arms, the client's lip is cut, and the client's clothes are ripped
The documentation that is most correctly written for this situation is: A) Client brought to ED by police. Bruising to throat and upper arms, measuring ____–_____ cm. Clothes ripped. B) Police brought client to the ED after getting beat up. Clothes ripped, bruising to throat and upper arms. Lip cut. C) Client had areas of bruising on throat and upper arms, as if someone had choked the client. Clothing ripped. D) Client brought to the ED, victim of some type of abuse, in the custody of the police.
After obtaining data from a health risk appraisal tool, the nurse met with the client for follow-up. What should the nurse do first after summarizing the information?
A. Create a reward system to reinforce healthful behaviors. B. Design a behavior change plan acceptable to the client. C. Establish an implementation time frame. D. Identify and reinforce client strengths.
When assessing a patient's skin, the nurse needs to know that
a. Restricted movement can increase blood circulation. b. Paralyzed patients have normal sensory function. c. Loss of subcutaneous tissue may increase the rate of wound healing. d. Moisture on the skin can lead to skin maceration.