A patient has a positive urine culture 1 week after completion of a 3-day course of antibiotics. The nurse anticipates that the prescriber will:

a. begin a 2-week course of antibiotics.
b. evaluate for a structural abnormality of the urinary tract.
c. initiate long-term prophylaxis with low-dose antibiotics.
d. treat the patient with intravenous antibiotics.


ANS: A
Patients who develop a subsequent urinary tract infection after treatment are treated in a stepwise fashion, beginning with a longer course of antibiotics. The next steps would be to begin a 4- to 6-week course of therapy, followed by a 6-month course of therapy if that is unsuccessful. If urinary tract infections are thought to be caused by other complicating factors, an evaluation for structural abnormalities may be warranted. Unless the infections are severe or are complicated, intravenous antibiotics are not indicated.

Nursing

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A woman arrives at the clinic for a pregnancy test. The first day of her last menstrual pe-riod (LMP) was February 14, 2010 . Her expected date of birth (EDB) would be:

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The nurse would interpret which patient findings as increasing the risk for development of skin cancer? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply

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A newly hospitalized patient has needle tracks on both arms. A friend states that the patient uses heroin daily but has not used in the past 24 hours. The nurse should assess the patient for:

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A married couple has come to the clinic seeking advice on pregnancy. They have been trying to conceive for 4 months and have not been successful. What should the nurse do first?

A) Ascertain whether either of them has been using broad-spectrum antibiotics. B) Explain that couples are considered infertile after 1 year of unprotected intercourse. C) Immediately refer the woman to an expert in pelvic inflammatory disease—the most common cause of infertility. D) Explain that couples are considered infertile after 3 months of engaging in unprotected intercourse and that they will need a referral to a fertility expert.

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