The nurse is caring for a hospitalized patient who has symptoms characteristic of pyelonephritis. Before administering the first dose of the intravenous antibiotic, the nurse will ensure that which action is performed?
a. An antipyretic is administered.
b. A dose of oral antibiotic is given.
c. A urinary analgesic is given.
d. A urine culture is obtained.
ANS: D
A urinalysis, as well as a culture and sensitivity, is usually performed before initiating drug therapy. An antipyretic is indicated for fever but does not need to be timed before the antibiotic. An oral antibiotic is not indicated. A urinary analgesic is given as needed.
You might also like to view...
Just after delivery, a newborn's axillary temperature is 94 degrees F. What action would be most appropriate?
A) Assess the newborn's gestational age. B) Rewarm the newborn gradually. C) Observe the newborn every hour. D) Notify the physician if the temperature goes lower.
Which respiratory system assessment finding of an older client does the nurse determine is most concerning?
1. Coughing during the night while sleeping 2. Purposefully sitting up straighter to get a deep breath 3. Shortness of breath when crossing a large parking lot 4. Three episodes of diagnosed bronchitis in twelve months
The client has lost the ability to synthesize T-suppressor lymphocytes. What type of immune system problem should the nurse expect this client to demonstrate?
A. Increased severity of allergy and other hypersensitivity reactions B. Decreased ability to recognize self from non-self C. Decreased immunoglobulin production D. Increased rate of cancer development
The nurse is caring for a patient who states, "I don't feel well today.". Which is the best follow-up action to the patient's statement for the nurse to implement?
a. Ask the patient to continue to describe the feeling. b. Measure the blood pressure and tempera-ture. c. State that the patient's diagnostic testing had normal results. d. Compare recent laboratory results with the prior results.