A nurse cares for a client admitted from a nursing home after several recent falls. What prescription should the nurse complete first?
a. Obtain urine sample for culture and sensitivity.
b. Administer intravenous antibiotics.
c. Encourage protein intake and additional fluids.
d. Consult physical therapy for gait training.
ANS: A
Although all interventions are or might be important, obtaining a urine sample for urinalysis takes priority. Often urinary tract infection (UTI) symptoms in older adults are atypical, and a UTI may present with new onset of confusion or falling. The urine sample should be obtained before starting antibiotics. Dietary requirements and gait training should be implemented after obtaining the urine sample.
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