The nurse is preparing to administer a broad-spectrum antibiotic medication to a client. An important nursing intervention prior to administration of the anti-infective is:
1. performing a culture within 24 hours after starting the medication.
2. obtaining the culture report, as when starting any medication.
3. performing a culture prior to administering the first dose of the anti-infective.
4. administering the medicine without performing cultures.
Correct Answer: 3
Rationale 1: The culture must be obtained prior to beginning antibiotic therapy, if possible.
Rationale 2: Laboratory tests should be performed prior to beginning the anti-infective therapy, but the organism does not have to be identified prior to starting medication.
Rationale 3: The culture should be obtained prior to administering the first dose of the anti-infective.
Rationale 4: Administering the medication without performing a culture could lead to increased symptoms of infection due to selection of the incorrect antibiotic.
Global Rationale: Ideally, the pathogen should be identified before anti-infective therapy is begun.
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The nurse is teaching a class on the inflammatory response for other nurses and discusses the role of factor XII or the Hageman factor. What substance does Hageman's factor activate to cause kininogen to be converted to bradykinin?
A) Arachidonic acid B) Prostaglandins C) Leukotrienes D) Kallikrein
A child with a known diagnosis of coarctation of the aorta will have an increase in:
1. Blood pressure in the lower extremities. 2. Blood pressure in the upper extremities. 3. Blood pressure in the heart. 4. Blood pressure in the aortic arch.
Hyperventilation can cause respiratory alkalosis
Indicate whether the statement is true or false