A patient diagnosed with osteomyelitis has a fever of 101.2°F, a white blood cell count of 22,000, and is complaining of severe leg pain. The physician prescribes the measures in the table. What is the first order the nurse should implement?
1. Start IV D51/2 NS at 125 mL/hr
2. Blood cultures ×2 at different sites
3. Rocephin 1 gram IV twice a day
4. Acetaminophen 650 mg by mouth for temperature above 100°F
Correct Answer: 1
The nurse should insert the intravenous access line first and draw the blood for the blood cultures through the access line prior to the initiation of the IV antibiotic. Once the intravenous line is established, the antibiotic can be started. Acetaminophen is not a priority at this time and can be provided at any point in the process.
You might also like to view...
As part of the health history of a 6-year-old boy at a clinic for a sports physical examination, the nurse reviews his immunization record and notes that his last measles-mumps-rubella (MMR) vaccination was at 15 months of age. What recommendation should
the nurse make? a. No further MMR immunizations are needed. b. MMR vaccination needs to be repeated at 4 to 6 years of age. c. MMR immunization needs to be repeated every 4 years until age 21 years. d. A recommendation cannot be made until the physician is consulted.
An older woman has a wound infection 5 days after a below-the-knee amputation brought about by diabetes mellitus
Which of the following is the nurse's priority intervention to prevent cogni-tive dysfunction and postoperative complications in this older adult? a. Remove invasive devices as soon as possible. b. Minimize the administration of opioid analgesics. c. Allow for self-care and independent activ-ities. d. Administer short-acting benzodiazepines as needed.
A 79-year-old patient in a long-term care facility is to receive an intravenous fat emulsion. Which of the following lab values would be a priority for the nurse to assess before administration?
A) Blood glucose levels B) Serum potassium levels C) Serum sodium levels D) Triglyceride levels
Which of the following is an example of a tort?
a. The primary nurse does not complete the plan of care for a client within 24 hours of the client's admission. b. The advanced practice nurse recommends that a client who is a danger to self and others be voluntarily admitted to the psychiatric unit. c. The treatment team changes a client's admission status from involuntary to voluntary after medication alleviates the client's hallucinations. d. The nurse decides to give a prn dose of neuroleptic drug to a client to prevent violent acting out because the unit is short staffed.