Weeks 1-4 Quizzes

You have a patient admitted with an MRSA infection that has improved and will be discharged to home. What teaching items should you EXCLUDE for this patient? a. Hand hygiene for people who live with the patient is not necessary. b. If you are prescribed an antibiotic for a MRSA infection, complete the full course of antibiotics. c. Avoid sharing personal items such as towels or razors. d. For future care inform health care providers about MRSA status.

Hand hygiene for people who live with the patient is not necessary. People who have MRSA germs on their skin or who are infected with MRSA may be able to spread the germ to other people. In addition to being passed to patients directly from unclean hands of healthcare workers or visitors, MRSA can be spread when patients contact contaminated bed linens, bed rails, and medical equipment.

The nurse at the after hours clinic receives the following orders for a 8 month old patient with suspected RSV and showing signs of mild respiratory distress, what order should he complete FIRST? a. Obtain a blood sample for a CBC. b. Suction the patient's nose using saline drops. c. Perform a PO challenge to see if the patient can tolerate fluids by mouth d. Educate the family on reasons to follow up.

Suction the patient's nose using saline drops. Airway maintenance for RSV includes: - Oxygen (administration is indicated for infants who are hypoxic or in respiratory distress.) Administer humidified oxygen (at 35% to 40% concentration) in the manner most comfortable for the infant (by hood, mask, or nasal prongs) to decrease hypoxia and bronchial edema - Suctioning Saline nose drops and then suction the nares with a bulb syringe to remove the secretions before feeding or at bedtime - Position the child at a 30-40 degree angle

While assessing a 12-year-old female who presents with fever and dysuria for 2 days, what statement by the client will alert the registered nurse (RN) of the presence of pyelonephritis? a. "It really burns whenever I empty my bladder." b. "It feels like I need to pee every few minutes." c. "My urine looks cloudy and smells bad." d. "I have a dull pain in my back and left side going to my navel."

"I have a dull pain in my back and left side going to my navel." This answer is correct because the statement "I have a dull pain in my back and left side going to my navel" is a statement that indicates pyelonephritis. The clinical manifestations will be as with a lower urinary tract infection plus other manifestations. The client will also experience an elevated temperature and chills. The client will have a specific complaint of a dull flank pain that radiates to the umbilicus.

Which statement made by a parent indicates an understanding about the management of a child with cellulitis on the arm? a. "I am supposed to continue the antibiotic until the redness and swelling disappear." b. "I have been putting ice on my son's arm to relieve the swelling." c. "I should call the doctor if the redness disappears." d. "I have been putting a warm soak on my son's arm every 4 hours."

"I have been putting a warm soak on my son's arm every 4 hours." Warm soaks applied every 4 hours while the child is awake increase circulation to the infected area, relieve pain, and promote healing.

A client comes to the clinic for left lower extremity cellulitis. Which of these statements made by the client indicates a need for further instruction by the nurse? a. "Cellulitis is caused by a staph infection." b. "I will take my antibiotics until my symptoms are better." c. "Cellulitis is the reason I have been running a fever." d. "I should keep my left lower extremity elevated."

"I will take my antibiotics until my symptoms are better." This answer is correct because the client needs further instruction by the nurse about taking antibiotics for cellulitis. The client should be instructed to take all the antibiotics until finished. The client should be instructed to continue to take the antibiotics even though the client feels better and symptoms improve. The health care provider (HCP) usually orders between 5 to 14 days of oral antibiotics for cellulitis, depending on its severity.

The nurse is assigned to a client who has a draining sacral wound infected by MRSA. Which personal protective equipment (PPE) will the nurse plan to use in preparing to change the linens of the client? (Select all that apply.) 1. Gloves 2. Goggles 3. Gown 4. N95 respirator 5. Surgical mask 6. Shoe covers

1 and 3 Gloves and a gown should be applied when coming in contact with linens that may be contaminated by the client's wound secretions. The other PPE items are not necessary, because transmission by splashes, droplets, or airborne means will not occur when the bed is changed.

A client has been admitted to the hospital for urinary tract infection and dehydration. The nurse determines that the client has received adequate volume replacement if the blood urea nitrogen (BUN) level drops to which value? a. 3 mg/dL b. 15 mg/dL c. 29 mg/dL d. 35 mg/dL

15 mg/dL The normal BUN level is 6 to 20 mg/dL (2.1 to 7.1 mmol/L). BUN/Creatinine, while not UTI specific, is VERY specific for kidney function. While a high BUN could be just dehydration, the fact that the patient has a UTI tells us it's probably BOTH.

The nurse needs to give a fluid bolus to a 9 month old patient with RSV who is refusing PO fluids. The order is for 0.9% NS 20ml/kg given over 30 minutes. The patient weights 8.4 kg. How much fluid does the nurse expect to infuse? a. 84ml b. 168ml c. 336ml d. 250ml

168ml

The nurse has an order for 1 g of ceftriaxone IM for a patient with a UTI. Using the label provided, how much lidocaine will the nurse use to reconstitute the ceftriaxone? a. 1 ml b. 2 ml c. 2.1 ml d. 3.1 ml

2.1 ml

The order is to infuse 1 liter of lactated ringer's solution at 125 ml/hr via gravity flow using tubing calibrated at 15 gtt/ml. The nurse understands that the flow rate is how many drops per minute? a. 31 b. 25 c. 248

31

Vedolizumab (Entyvio) is diluted into 250 mL of Lactated Ringers and the order states to infuse over 30 minutes. Calculate the mL/hr the nurse will set the IV pump to infuse at. a. 200 ml/hr b. 500 ml/hr c. 250 ml/hr d. 100 ml/hr

500 ml/hr

After the initial bolus, maintenance fluids are started on the above patient. The order is for 10mg/kg/hr continuous. The nurse has a 500ml bag of NS 0.9%. When will the nurse expect this bag of fluids to run out? a. 4 hours b. 3.5 hours c. 6 hours d. 5 hours

6 hours

Which newly admitted client does the nurse consider to be at highest risk for the development of sepsis? 68-year-old woman 2 days postoperative from bowel surgery 80-year-old community-dwelling man with no other health problems undergoing cataract surgery 75-year-old man with hypertension and early Alzheimer's disease 54-year-old woman with moderate asthma and severe degenerative joint disease of the right knee

68-year-old woman 2 days postoperative from bowel surgery The 68-year-old woman has several risk factors. First, she is an older adult, and her immune function decreases with age. The greatest risk factor is that she has just had bowel surgery. Not only does major surgery further reduce the immune response, but the bowel also cannot be "sterilized" for surgery. Therefore the usual bacteria of the bowel have the chance to escape the site and enter the bloodstream when the bowel is disrupted.

Amoxicillin is prescribed for a pediatric patient that weighs 39 lbs. The dosage is 90 mg/kg/day divided into 2 doses. How much (mg) amoxicillin will the nurse expect to give per dose? a. 800 mg b. 900 mg c. 1600 mg d. 400 mg

800 mg

A client is being admitted to the hospital for treatment of acute cellulitis of the lower left leg. During the admission assessment, the nurse expects to note which finding? a. An inflammation of the epidermis only b. A skin infection of the dermis and underlying hypodermis c. An acute superficial infection of the dermis and lymphatics d. An epidermal and lymphatic infection caused by Staphylococcus

A skin infection of the dermis and underlying hypodermis Cellulitis is an infection of the dermis and underlying hypodermis that results in a deep red erythema without sharp borders and spreads widely throughout tissue spaces. The skin is erythematous, edematous, tender, and sometimes nodular. Erysipelas is an acute, superficial, rapidly spreading inflammation of the dermis and lymphatics. The infection is not superficial and extends deeper than the epidermis.

Which of these are risk factors for developing cellulitis? Select all that apply. a. Healthy weight. b. Athlete's foot. c. Lymphoedema. d. Puncture injuries/trauma. e. Venous insufficiency.

Athlete's foot Having athlete's foot puts the client at a high risk for developing cellulitis. Athlete's foot or tinea pedis is caused by a fungal infection to the skin/feet. The skin is moist with open areas that may be raw. This may be the entry breaks in the skin that causes cellulitis. Lymphoedema This is a risk factor for developing cellulitis. Lymphoedema symptoms include swelling of the lower extremity, dimpling of the extremity, and pain often occurs. The greater the swelling, the higher risk for a skin break and the development of cellulitis. Puncture injuries/trauma This is a risk factor for developing cellulitis. Puncture injuries may include insect bites and animal bites. Trauma may include cuts, piercings, tattoos, and ulcers. Once the client has a break in the skin, bacteria may enter and cause cellulitis. Venous insufficiency This is a risk factor for developing cellulitis. Poor blood flow can cause inflammation in the skin and any underlying tissues. Dermatitis and venous stasis ulcers may develop and increase the client's risk of developing cellulitis.

A 80 years old patient sees his primary health provider due to foul-smelling urine and burning on urination. Which contributing factors for a UTI should the health provider consider? a. High-Purine diet b. Sedentary Lifestyle c. Benign Prostatic Hyperplasia (BPH) d. Recent antibiotic use.

Benign Prostatic Hyperplasia (BPH) BPH causes urinary stasis, which is a predisposing factor for UTIs. A sedentary lifestyle and recent antibiotic use are unlikely to contribute to UTIs, but a diet high in purines is associated with renal calculi.

The client came to the emergency department with a fever of 100.0º F or 37.7º C, redness, erythema, and edema to the right lower extremity. The client's history includes morbid obesity, venous insufficiency, hypertension, and hyperlipidemia. Which admitting diagnosis does the nurse expect to see on this client's chart? a. Abscess of the right lower extremity. b. Cellulitis of the right lower extremity. c. Lymphoedema to the right lower extremity. d. Venous stasis ulcer to the right lower extremity.

Cellulitis of the right lower extremity. This answer is correct because the client's symptoms described would be a diagnosis of cellulitis of the right lower extremity. Cellulitis is defined as a bacterial skin infection of the deep dermis and subcutaneous tissue caused by a staph or strep infection. Signs and symptoms of cellulitis include fever, redness, erythema, and swelling to the lower extremity.

The nurse is assessing a client who was admitted a few days ago with severe cellulitis of the left lower extremity. Upon assessment, the nurse notices that the affected extremity has begun draining yellow exudate. After notifying the health care provider (HCP) about the yellow drainage, which of these interventions would be a priority for the nurse? a. Clean the open area and apply a dry dressing to the site. b. Massage the open area to increase circulation to the site. c. Continue to assess the client's lower extremity hourly. d. Clean the open area and swab and culture the drainage.

Clean the open area and swab and culture the drainage. This answer is correct because the nurse should notify the health care provider (HCP) and obtain an order to clean the open area and then swab and culture the drainage. A culture and sensitivity shows which antibiotics are sensitive and resistant to the organism(s) growing. A culture or swab of the open area is used to discover the germ, bacteria, or fungus causing the infection. A sensitivity test checks to discover which medication is best to treat the infection.

Your patient, who is post-op from a kidney transplant, has developed septic shock. Which statement below best reflects the interventions you will perform for this patient? a. Collect cultures and then administer IV antibiotics. b. Check blood glucose levels before starting any other treatments. c. Administer Drotrecogin Alpha within 48-72 hours. d. Administer Norepinephrine before attempting a fluid resuscitation.

Collect cultures and then administer IV antibiotics. Yes! This is the only correct option. Option D is wrong because fluids are administered first, and if they don't work vasopressors (Norepinephrine) is administered. Option B is wrong because although blood glucose levels should be measured, it does not take precedence over other treatments. Option C is wrong because Drotrecogin alpha should be given within 24-48 hours of septic shock to be the most effective.

A client is diagnosed with methicillin resistant staphylococcus aureus pneumonia. What type of isolation is MOST appropriate for this client? a. Reverse isolation b. Respiratory isolation c. Standard precautions d. Contact isolation

Contact isolation Contact or Body Substance Isolation (BSI) involves the use of barrier protection (e.g. gloves, mask, gown, or protective eyewear as appropriate) whenever direct contact with any body fluid is expected. When determining the type of isolation to use, one must consider the mode of transmission. The hands of personnel continues to be the principal mode of transmission for methicillin resistant staphylococcus aureus (MRSA). Because the organism is limited to the sputum in this example, precautions are taken if contact with the patient"s sputum is expected. A private room and BSI, along with good hand washing techniques, are the best defense against the spread of MRSA pneumonia

A client is diagnosed with methicillin-resistant staphylococcus aureus pneumonia. What type of isolation is MOST appropriate for this client? a. Reverse isolation b. Respiratory isolation c. Standard precautions d. Contact isolation

Contact isolation Contact or Body Substance Isolation (BSI) involves the use of barrier protection (e.g. gloves, mask, gown, or protective eyewear as appropriate) whenever direct contact with anybody fluid is expected. When determining the type of isolation to use, one must consider the mode of transmission. The hands of personnel continues to be the principal mode of transmission for methicillin-resistant staphylococcus aureus (MRSA). Because the organism is limited to the sputum in this example, precautions are taken if contact with the patient"s sputum is expected. A private room and BSI, along with good hand washing techniques, are the best defense against the spread of MRSA pneumonia.

Your patient's blood pressure is 72/56, heart rate 126, and respiration 24. The patient has a fungal infection in the lungs. The patient also has a fever, warm/flushed skin, and is restless. You notify the physician who suspects septic shock. You anticipate that the physician will order what treatment FIRST? a. Crystalloids IV fluid bolus b. Norepinephrine c. Low-dose corticosteroids d. 2 units of Packed Red Blood Cells

Crystalloids IV fluid bolus The first treatment in regards to helping maintain tissue perfusion is fluid replacement with either crystalloid or colloid solutions. THEN vasopressors like Norepinephrine are ordered if the fluids don't help.

A client who has a cold is seen in the emergency department with an inability to void. Because the client has a history of benign prostatic hyperplasia, the nurse determines that the client should be questioned about the use of which medication? 1. Diuretics 2. Antibiotics 3. Antilipemics 4. Decongestants

Decongestants In the client with benign prostatic hyperplasia, episodes of urinary retention can be triggered by certain medications, such as decongestants, anticholinergics, and antidepressants. These medications lessen the voluntary ability to contract the bladder. The client should be questioned about the use of these medications if he has urinary retention. Diuretics increase urine output. Antibiotics and antilipemics do not affect ability to urinate.

The nurse assesses a patient's surgical wound on the first postoperative day and notes redness and warmth around the incision. Which action by the nurse is appropriate? a. Obtain wound cultures. b. Notify the health care provider. c. Document the assessment. d. Start IV antibiotics.

Document the assessment. The incisional redness and warmth are indicators of the normal initial (inflammatory) stage of wound healing by primary intention. The nurse should document the wound appearance and continue to monitor the wound. Notification of the health care provider, IV antibiotics, and obtaining wound cultures are not indicated because the healing is progressing normally.

The nurse is providing discharge instructions to a client receiving trimethoprim-sulfamethoxazole. Which instruction should be included in the list? 1. Advise that sunscreen is not needed. 2. Drink 8 to 10 glasses of water per day. 3. Decrease the dosage when symptoms are improving to prevent an allergic response. 4. If the urine turns dark brown, call the primary health care provider (PHCP) immediately.

Drink 8 to 10 glasses of water per day. Each dose of trimethoprim-sulfamethoxazole should be administered with a full glass of water, and the client should maintain a high fluid intake to avoid crystalluria. The medication is more soluble in alkaline urine. The client should not be instructed to taper or discontinue the dose. Clients should be advised to use sunscreen since the skin becomes sensitive to the sun. Some forms of trimethoprim-sulfamethoxazole cause urine to turn dark brown or red. This does not indicate the need to notify the PHCP.

The nurse is working on a plan of care with her patient which includes turning and positioning and adequate nutrition to help the patient maintain intact skin integrity. She knows this will help break the chain of infection by: a. Eliminating a portal of entry b. Increasing the patient's circulation c. Increasing the patient's protein d. Eliminating the mode of transmission

Eliminating a portal of entry Broken or impaired skin creates a portal of entry for pathogens. By maintaining intact tissue, the patient and the nurse have broken the chain of infection by eliminating a portal of entry.

Contact precautions are initiated for a client with a health care-associated (nosocomial) infection caused by methicillin-resistant Staphylococcus aureus (MRSA). The nurse prepares to provide colostomy care and should obtain which protective items to perform this procedure? a. Gloves and gown b. Gloves and goggles c. Gloves, gown, and shoe protectors d. Gloves, gown, goggles, and a mask or face shield

Gloves, gown, goggles, and a mask or face shield Splashes of body secretions can occur when providing colostomy care. Goggles and a mask or face shield are worn to protect the face and mucous membranes of the eyes during interventions that may produce splashes of blood, body fluids, secretions, or excretions. In addition, contact precautions require the use of gloves, and a gown should be worn if direct client contact is anticipated. Shoe protectors are not necessary.

The parameters for pediatric vital signs are different for children because of several factors. Which factors have an influence on the pediatric patient's vital signs? Select all that apply. a. Socioeconomic status b. Growth and development c. Immaturity of organs d. Increased basal metabolic rate

Growth and development Immaturity of organs Increased basal metabolic rate

A 21-yr-old female patient received instructions on how to prevent recurrence of urinary tract infections. Which statement indicates that teaching was effective? a. I will urinate before and after intercourse. b. I will use a vaginal douche weekly for cleansing. c. I will stop my antibiotics when symptoms disappear. d. I should drink 3 eight-ounce glasses of water a day.

I will urinate before and after intercourse. The woman should empty her bladder before and after sexual intercourse. She should avoid vaginal douches and maintain adequate oral fluid intake (15 mL per pound of body weight). All of the antibiotics should be taken as prescribed even if symptoms are no longer present.

The nurse is caring for an infant with bronchiolitis, and diagnostic tests have confirmed respiratory syncytial virus (RSV). On the basis of this finding, which is the most appropriate nursing action? a. Initiate strict enteric precautions. b. Move the infant to a private room. c. Leave the infant in the present room, because RSV is not contagious. d. Inform the staff that using standard precautions is all that is necessary when caring for the child.

Move the infant to a private room.

The nurse is getting report on a newly admitted 12 month old with a diagnosis of RSV bronchiolitis and poor PO intake, the patient also has a history of frequent upper respiratory infections (URIs). The nurse anticipates which of the following orders: a. Rocephin IV 25mg/kg/dose x3 days b. Prednisolone PO 1mg/kg q 24 hours c. NS 0.9% 20mg/kg over 30 minutes for rehydration d. Racepinephrine 2.25% (0.5ml ) nebulized

NS 0.9% 20mg/kg over 30 minutes for rehydration

A patient with an open leg lesion has a white blood cell (WBC) count of 13,500/µL and a band count of 11%. What prescribed action should the nurse take first? a. Obtain cultures of the wound. b. Redress the wound with wet-to-dry dressings c. Continue to monitor the wound for drainage. d. Begin antibiotic administration.

Obtain cultures of the wound. The increase in WBC count with the increased bands (shift to the left) indicates that the patient probably has a bacterial infection, and the nurse should obtain wound cultures. Antibiotic therapy and/or dressing changes may be started, but cultures should be done first. The nurse will continue to monitor the wound, but additional actions are needed as well.

An 80-year-old client arrives per ambulance to the emergency department complaining of #10/#10 pain on the pain scale in the right lower extremity. The nurse assesses the client and documents redness, swelling, warmth, tenderness, and erythema to the site. The client has a fever over 101º F or 38º C, HR 120, RR 20, BP 150/90. Which of these interventions does the nurse anticipate the health care provider (HCP) to order for this client? Select all that apply. a. Sulfonamide antibiotics intravenously. b. Penicillin antibiotics intravenously. c. Administration of pain and fever medications. d. Warm compresses to the right lower extremity. e. Apply cold packs to the right lower extremity.

Penicillin antibiotics intravenously. This answer is correct because penicillin antibiotics are the drug/antibiotics of choice for severe cellulitis. Cellulitis that becomes severe before treatment can spread quickly. Penicillins, cephalosporins, and clindamycin are also used to treat severe cellulitis. Other antibiotics utilized for treatment include doxycycline, dicloxacillin, cephalexin, and trimethoprim with sulfamethoxazole. Administration of pain and fever medications. This answer is correct because pain and fever medications should be administered to the client with severe cellulitis. The client complained of 10/10 pain in the right lower extremity, which is severe pain and the health care provider (HCP) should prescribe pain medication to reduce the client's pain. If the pain medication does not address the fever, the health care provider (HCP) should prescribe medications to reduce the high fever. Warm compresses to the right lower extremity. This answer is correct because warm compresses should be applied to the affected extremity. The health care provider (HCP) should prescribe application of warm compresses to the affected extremity to reduce the inflammation, warmth, and swelling. Warm compresses vasodilate the blood vessels of the extremity.

The nurse is admitting a 10-month-old infant who is being hospitalized for a respiratory infection. The nurse develops a plan of care for the infant and includes which most appropriate intervention? a. Restraining the infant to prevent dislodging of tubes b. Placing small toys in the crib to provide stimulation for the infant c. Providing a consistent routine with touching, rocking, and cuddling throughout hospitalization d. Keeping the infant as quiet as possible.

Providing a consistent routine with touching, rocking, and cuddling throughout hospitalization

You are caring for a 4 month old infant on day 3 of admission for RSV bronchiolitis. What assessments concerns you the MOST? a. Respirations 14 breaths per minute b. Wet diaper 4 hours ago c. No food intake in 18 hours d. Mild intercostal retraction noted.

Respirations 14 breaths per minute Complications to Anticipate - Pneumonia (Secondary bacterial infection) - Dehydration - Respiratory Failure- MOST pediatric arrests are respiratory in nature. Signs of Deterioration: Lethargy, Inappropriately low respiratory rate, Apnea, Poor perfusion, Severe respiratory distress

When caring for a patient who has septic shock, which assessment finding is most important for the nurse to report to the health care provider? a. Skin cool and clammy b. BP 92/56 mm Hg c. Apical pulse 118 beats/min d. Skin warm and dry

Skin cool and clammy Since patients in the early stage of septic shock have warm and dry skin, the patient's cool and clammy skin indicates that shock is progressing. The other information also will be reported, but does not indicate deterioration of the patient's status.

Trimethoprim-sulfamethoxazole is prescribed for a client. The nurse should instruct the client to report which symptom if it develops during the course of this medication therapy? 1. Nausea 2. Diarrhea 3. Headache 4. Sore throat

Sore throat Clients taking trimethoprim-sulfamethoxazole should be informed about early signs and symptoms of blood disorders that can occur from this medication. These include sore throat, fever, and pallor, and the client should be instructed to notify the primary health care provider (PHCP) if these occur. The other options do not require PHCP notification.

Which clinical findings are consistent with sepsis diagnostic criteria? Select all that apply. 1. Urine output 50 mL/hr 2563 2. Hypoactive bowel sounds 3. Temperature of 102° F (38.9° C) 4. Heart rate of 96 beats per minute 5. Mean arterial pressure 65 mm Hg 6. Systolic blood pressure 110 mm Hg

Temperature of 102° F (38.9° C) Heart rate of 96 beats per minute Mean arterial pressure 65 mm Hg Sepsis diagnostic criteria with regard to signs and symptoms include the following: Fever (temperature higher than 100.9° F [38.3° C]) or hypothermia (core temperature lower than 97° F [36° C]), tachycardia (heart rate above 90 beats per minute), tachypnea (respiratory rate above 22 breaths per minute), systolic blood pressure (SBP) less than or equal to 100 mm Hg or arterial hypotension (SBP below 90 mm Hg), MAP less than 70 mm Hg, or a decrease in SBP of more than 40 mm Hg, altered mental status, edema or positive fluid balance, oliguria, ileus (absent bowel sounds), and decreased capillary refill or mottling of skin.

The nurse knows that which of the following patients is at the most risk for complications of RSV: a. The 16-month-old with a family history of asthma. b. The 4-month-old with a history of hip dysplasia. c. The 8-month-old who was born at 29 weeks gestation. d. The 9-month-old who attends daycare full-time.

The 8-month-old who was born at 29 weeks gestation. Risk factors Baby - Smaller airways and nose - Obligatory nose breathers - Usually in the first fall/winter season of their life Highest-risk populations include: - younger children, especially babies younger than 1 year - people with weakened immune system

Nitrofurantoin is prescribed for a client with a urinary tract infection. The client contacts the nurse and reports a cough, chills, fever, and difficulty breathing. The nurse should make which interpretation about the client's complaints? 1. The client may have contracted the flu. 2. The client is experiencing anaphylaxis. 3. The client is experiencing expected effects of the medication. 4. The client is experiencing a pulmonary reaction requiring cessation of the medication.

The client is experiencing a pulmonary reaction requiring cessation of the medication. Nitrofurantoin can induce 2 kinds of pulmonary reactions: acute and subacute. Acute reactions, which are most common, manifest with dyspnea, chest 1913 pain, chills, fever, cough, and alveolar infiltrates. These symptoms resolve 2 to 4 days after discontinuing the medication. Acute pulmonary responses are thought to be hypersensitivity reactions. Subacute reactions are rare and occur during prolonged treatment. Symptoms (e.g., dyspnea, cough, malaise) usually regress over weeks to months following nitrofurantoin withdrawal. However, in some clients, permanent lung damage may occur. The remaining options are incorrect interpretations.

Phenazopyridine is prescribed for a client with a urinary tract infection. The nurse evaluates that the medication is effective based on which observation? a. Urine is clear amber. b. Urination is less painful. c. A reddish-orange tinge is noted to the urine. d. Urge incontinence is not present.

Urination is less painful. Phenazopyridine is a urinary analgesic. It is effective when it eliminates pain and burning with urination.

Which statement from the parents indicates to the nurse that further teaching is needed in regards to their 14-month-old son with RSV: a. We will give cough medications every 4-6 hours. b. We will suction his nose at before nap times and meals. c. We will look for a wet diaper every 6-8 hours. d. We will make sure to keep him home from daycare.

We will give cough medications every 4-6 hours. Cough medications are contraindicated because we want to clear secretions for infants with RSV. Not recommended for children under 4 in general

In order to provide the best intervention for a patient, the nurse is often responsible for obtaining a sample of exudate for culture. What information will this provide? a. What cells are being utilized by the body to attack an infection. b. Whether a patient has an infection. c. What specific type of pathogen is causing an infection. d. Where an infection is located.

What specific type of pathogen is causing an infection. People can transmit pathogens even if they don't currently feel ill. Some carriers never experience the full symptoms of a pathogen. A CBC will identify that the patient has an infection. Inspection and radiography will help identify where an infection is located. The CBC with differential will identify the white blood cells being used by the body to fight an infection. The culture will grow the microorganisms in the sample for identification of the specific type of pathogen.

Which intervention will the registered nurse (RN) instruct the mother of a daughter diagnosed with cystitis to implement during the healing process? Select all that apply. a. abstain from baths/showers during the healing process b. encourage her to wait until bladder full to void c. administer acetaminophen for pain if needed d. complete all antibiotics as ordered e. increase healthy fluids to 50 mL/lb/day

administer acetaminophen for pain if needed This answer is correct because administering acetaminophen for pain if needed is an intervention the RN will instruct the mother to implement. The interventions the mother needs to implement includes: administer acetaminophen for pain if needed, complete all antibiotics as ordered, and increase healthy fluids to 50 mL/lb/day. complete all antibiotics as ordered This answer is correct because completing all antibiotics as ordered is not an intervention the RN will instruct the mother to implement. The interventions the mother needs to implement includes: administer acetaminophen for pain if needed, complete all antibiotics as ordered, and increase healthy fluids to 50 mL/lb/day. increase healthy fluids to 50 mL/lb/day This answer is correct because increasing healthy fluids to 50 mL/lb/day is an intervention the RN will instruct the mother to implement. The interventions the mother needs to implement includes: administer acetaminophen for pain if needed, complete all antibiotics as ordered, and increase healthy fluids to 50 mL/lb/day.

Which intervention will the registered nurse (RN) implement to obtain a urine culture and sensitivity from a 5-year-old female client? Select all that apply. a. recommend the mother to wait in the hallway while collecting the specimen b. recommend that the mother place the child on a bedpan to collect specimen c. have the child begin to void and then obtain the specimen midstream d. have the child sit backwards on the toilet for ease of specimen collection e. have mother clean the child's perineal area front to back prior to obtaining the specimen

have the child begin to void and then obtain the specimen midstream This answer is correct because having the child begin to void and then obtain the specimen midstream is an intervention the RN will implement. Realizing that working with children is different, the RN will implement specific interventions: have the child begin to void and then obtain specimen midstream, have the child sit backwards on toilet for ease of specimen collection, and clean perineal area front to back prior to obtaining specimen. have the child sit backwards on the toilet for ease of specimen collection This answer is correct because having the child sit backwards on the toilet for ease of specimen collection is an intervention the RN will implement. Realizing that working with children is different, the RN will implement specific interventions: have the child begin to void and then obtain specimen midstream, have the child sit backwards on toilet for ease of specimen collection, and clean perineal area front to back prior to obtaining specimen. have mother clean the child's perineal area front to back prior to obtaining the specimen This answer is correct because having the mother clean the child's perineal area front to back prior to obtaining the specimen is an intervention the RN will implement. Realizing that working with children is different, the RN will implement specific interventions: have the child begin to void and then obtain specimen midstream, have the child sit backwards on toilet for ease of specimen collection, and clean perineal area front to back prior to obtaining specimen.

Which recommendation will the registered nurse (RN) provide to the mother of a daughter recovering from a urinary tract infection to help prevent a recurrence? Select all that apply. a. limit her intake of cokes to no more than 2 cans/day b. limit the amount of time she sits in a bubble bath c. do not allow her to wear nylon underwear d. have her wear cotton underwear e. teach her to wipe front to back

limit the amount of time she sits in a bubble bath This answer is correct because limiting the amount of time she sits in a bubble bath is not an intervention the RN will instruct the mother to implement. It is beneficial to avoid a bubble bath no matter the amount of time. do not allow her to wear nylon underwear This answer is correct because not allowing her to wear nylon underwear is not an intervention the RN will instruct the mother to implement. The interventions the mother should implement to prevent a recurrence of a urinary tract infection in her daughter include: do not allow her to wear nylon underwear, have her wear cotton underwear, and teach her to wipe front to back. have her wear cotton underwear This answer is correct because having her wear cotton underwear is not an intervention the RN will instruct the mother to implement. The interventions the mother should implement to prevent a recurrence of a urinary tract infection in her daughter include: do not allow her to wear nylon underwear, have her wear cotton underwear, and teach her to wipe front to back. teach her to wipe front to back This answer is correct because teaching her to wipe front to back is not an intervention the RN will instruct the mother to implement. The interventions the mother should implement to prevent a recurrence of a urinary tract infection in her daughter include: do not allow her to wear nylon underwear, have her wear cotton underwear, and teach her to wipe front to back.

Which clinical manifestation will the registered nurse (RN) expect to assess in a 13-year-old female diagnosed with a urinary tract infection? Select all that apply. a. urine appears clear and dilute b. macule type rash on the trunk c. urine is cloudy and blood-tinged d. frequency of urination e. painful voiding

urine is cloudy and blood-tinged This answer is correct because urine is cloudy and blood-tinged is an expected clinical manifestation of a urinary tract infection in the child. The expected clinical manifestations include: urine is cloudy and blood-tinged, frequency of urination, and painful voiding. frequency of urination This answer is correct because frequency of urination is an expected clinical manifestation of a urinary tract infection in the child. The expected clinical manifestations include: urine is cloudy and blood-tinged, frequency of urination, and painful voiding. painful voiding This answer is correct because painful voiding is an expected clinical manifestation of a urinary tract infection in the child. The expected clinical manifestations include: urine is cloudy and blood-tinged, frequency of urination, and painful voiding.