The nurse admits a client with a diagnosis of pneumonia with moderate respiratory distress requiring oxygen by nasal cannula. What diagnostic test does the nurse anticipate will be ordered to confirm the cause of the infection?
1. CBC with differential
2. ELISA
3. Sputum culture
4. Biopsy
3
Rationale: A sputum culture can determine the causative agent of pneumonia, which will then improve the choice of treatment. A CBC might indicate the presence of an infection but will not reveal the causative agent. An ELISA is a test for the presence of antigens such as HIV, and would indicate why the client was sick, but would not expose the causative agent. A biopsy would not be used, because it is highly invasive and the risks would outweigh the benefits.
You might also like to view...
A patient has been taking high doses of clorazepate [Tranxene] for several months for an anxiety disorder. The nurse assessing the patient observes that the patient is agitated, euphoric, and an-xious. What will the nurse do?
a. Double-check the chart to make sure the last dose was given. b. Request an order for a longer-acting ben-zodiazepine. c. Suspect a possible paradoxical reaction to the clorazepate. d. Withhold the next dose until a drug level can be drawn.
A patient is placed on a multidrug regimen that includes bismuth for treatment of peptic ulcer disease (PUD). The nurse should include which of the following points when providing patient education?
a. One week of therapy should heal ulcers, relieve symptoms, and eradicate H. py-lori. b. Resolution of pain indicates that the ulcer has healed. c. The tongue and stool may turn black. d. A single-antibiotic regimen is preferable to a multi-antibiotic regimen whenever possible.
The nurse inspects the site where a client's basal cell carcinoma has been treated with cryosurgery and finds that the area is red, with a blister in the center. Which action does the nurse take?
a. Culture the site. b. Notify the surgeon. c. Apply hydrocortisone cream. d. Reassure the client.
A couple arrives at a mental health clinic because the wife is concerned about some of her husband's behavior
She relates to the nurse, "I have found him several times looking across the courtyard with binoculars and snooping on neighbors while they were having sex. I don't understand, because he never wants to have sex with me." The nurse's assessment would MOST likely reveal which sexual disorder? a. homosexuality b. transvestism c. voyeurism d. fetishism