A primary care NP sees a patient who has dysuria, fever, and urinary frequency. The NP orders a urine dipstick, which is positive for nitrates and leukocyte esterase, and sends the urine to the laboratory for a culture
The patient is allergic to sulfa drugs. The NP should: a. order cefaclor (Ceclor).
b. prescribe cefixime (Suprax).
c. administer intramuscular ceftriaxone (Rocephin).
d. wait for culture results before ordering an antibiotic.
B
Cephalosporins are useful for empirical treatment of many of the most common infections seen in primary care. Cefixime is a third-generation cephalosporin, which has greater activity against Escherichia coli and excellent penetration into body fluids, making it a good choice for empirical treatment of urinary tract infection.
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Fluid moves between the intravascular and interstitial compartments by a process called:
1. Osmosis. 2. Filtration. 3. Buffer. 4. Alkalosis.
The nurse is caring for a male client who has a significant urinary narrowing secondary to an enlarged prostate. Which nursing action is best to relieve his urinary retention?
A) Use a 22 French catheter to remove urine from bladder. B) Teach the Credé's maneuver to remove urine from the bladder. C) Insert a coudé catheter to remove urine from the bladder. D) Use a straight-tipped catheter to remove urine from the bladder.
The nurse counsels a college student who admits to frequent binge drinking. Based on her age and environment, the most likely reason for this student's binge drinking is to:
A) Deal with family dysfunction B) Cope with violence C) Escape painful emotions D) Enhance mood or affective state
Which client statement indicates that termination of the therapeutic nurse–client relationship has been handled successfully?
A. "I know I can count on you for continued support." B. "I am looking forward to discharge, but I am surprised that we will no longer work together." C. "Reviewing the changes that have happened during our time together has helped me put things in perspective." D. "I don't know how comfortable I will feel when talking to someone else."