INFECTION EAQ

Nitrofurantoin 0.1 g is prescribed for a client with a urinary tract infection. Each tablet contains 50 mg. How many tablets will the nurse administer? Record your answer using a whole number. ___

2

A 5-month-old infant is admitted with a diagnosis of respiratory syncytial virus (RSV) infection. The infant's condition suddenly deteriorates, and a dose of epinephrine is prescribed to relieve bronchospasm. For what side effect of the medication should the nurse assess the infant? A. Tachycardia B. Hypotension C. Respiratory arrest D. Central nervous system depression

A

A client is admitted with cellulitis of the left leg and a temperature of 103° F (39.4° C). The primary healthcare provider prescribes intravenous (IV) antibiotics. Which action is the priority before administering the antibiotics? A. Determine the client's allergies B. Apply a warm, moist dressing over the cellulitis C. Measure the amount of swelling in the client's left leg D. Obtain the results of the culture and sensitivity tests

A

A nurse is assessing the urine of a client with a urinary tract infection. For which characteristic should the nurse assess each specimen of urine? A. Clarity B. Viscosity C. Glucose level D. Specific gravity

A

An infant with bronchiolitis caused by respiratory syncytial virus (RSV) is admitted to the pediatric unit. What does the nurse expect the prescribed treatment to include? A. Humidified cool air and adequate hydration B. Postural drainage and oxygen by hood C. Bronchodilators and cough suppressants D. Corticosteroids and broad-spectrum antibiotics

A

To help prevent a cycle of recurring urinary tract infections in a female client, which instruction should the nurse share? A. "Urinate as soon as possible after intercourse." B. "Increase your daily intake of citrus juice." C. "Douche regularly with alkaline agents." D. "Take bubble baths regularly."

A

After reviewing the urinalysis reports of a client with a renal disorder, the nurse concludes that the client may have a urinary tract infection. Which urinary laboratory findings enabled the nurse to make this conclusion? Select all that apply. A. pH: 8.5 B. Specific Gravity: 1.010 C. Red blood cells: 3/hpf D. Osmolality: 1500 mOsm/kg (1500 mmol/kg) E. White blood cells: 6/hpf

A, E

A 6-month-old infant is brought to the emergency department in severe respiratory distress. A diagnosis of respiratory syncytial virus (RSV) infection is made, and the infant is admitted to the pediatric unit. What should be included in the nursing plan of care? A. Place in warm, dry environment B. Maintain standard and contact precautions C. Administer prescribed antibiotic immediately. D. Allow parents and siblings to room in with the infant.

B

A client is considered to be in septic shock when what changes are assessed in the client's labwork? A. Blood glucose is 70-100 mg/dL B. An increased serum lactate level C. An increased neutrophil level D. A white blood count of 5000 cells/µL

B

A client with an abdominal wound infected with methicillin-resistant Staphylococcus aureus (MRSA) is scheduled for a computed tomography (CT) scan of the abdomen. To ensure client and visitor safety during transport, the nurse should implement which precaution? A. No special precautions are required B. Cover the infected site with a dressing C. Drape the client with a covering labeled biohazardous D. Place a surgical maks on the client

B

A nurse instructs a client with a history of frequent urinary tract infections to drink cranberry juice. Which goal is the nurse trying to achieve with this suggestion? A. Exert a bactericidal effect against the bacteria B. Prevent bacterial attachment to the bladder wall C. Improve glomerular filtration rate D. Relieve the symptoms of dysuria

B

Sterile warm saline soaks three times a day are prescribed for a client with cellulitis from a puncture wound. The primary nurse places a clean basin, washcloth, and protective pad at the bedside in preparation for the soak but is unable to continue the procedure. What should the nurse assigned to complete the soak do? A. Continue the procedure as started B. Collect new supplies before starting. C. Discuss the type of soak with the primary healthcare provider. D. Report the primary nurse to the unit's nurse manager.

B

Trimethoprim/sulfamethoxazole is prescribed for a child with a urinary tract infection. Which statement by the parent about the drug indicates that the nurse's instructions about administration have been understood? A. "Mealtime is a good time to give the medication." B. "I'll make sure to give each pill with 6 to 8 oz (180 to 240 mL) of fluid." C. "It must be taken with orange juice to ensure acidity of urine." D. "The drug has to be taken every 4 hours to maintain a blood level."

B

Which intervention is most likely to decrease mortality in the septic client? A. Oxygen B. Antibiotics C. Vasopressors D. Intravenous fluids

B

An infant is admitted to the pediatric unit with bronchiolitis caused by respiratory syncytial virus (RSV). What interventions are appropriate nursing care for the infant? Select all that apply. A. Limiting fluid intake B. Instilling saline nose drops C. Maintaining contact precautions D. Suctioning mucus with a bulb syringe E. Administering warm humidified oxygen

B, C, D

A client has been admitted to the hospital with a diagnosis of methicillin-resistant Staphylococcus aureus (MRSA) in the urine. The client has a urinary catheter in place. No private rooms are available. Which room assignment would be most appropriate for this client? A. Roommate has a urinary catheter B. Roommate is bedridden and uses a bedpan for urination C. Roommate has MRSA in the urine. The roommate is ambulatory, but confused. D. Roommate is alert and oriented with a diagnosis of pneumonia but practices good hygiene when using the bathroom.

C

A client has been admitted with a urinary tract infection. The nurse receives a urine culture and sensitivity report that reveals the client has vancomycin-resistant enterococci (VRE). After notifying the healthcare provider, which action should the nurse take to decrease the risk of transmission to others? A. Insert a urinary catheter. B. Initiate droplet precautions. C. Move the client to a private room. D. Use a high-efficiency particulate air (HEPA) respirator during care.

C

To prevent septic shock in the hospitalized client, what should the nurse do? A. Maintain the client in a normothermic state. B. Administer blood products to replace fluid losses. C. Use aseptic technique during all invasive procedures. D. Keep the critically ill client immobilized to reduce metabolic demands.

C

Which intervention would be most beneficial in preventing a catheter-associated urinary tract infection in a postoperative client? A. Pouring warm water over the perineum B. Ensuring the patency of the catheter C. Removing the catheter within 24 hours D. Cleaning the catheter insertion site

C

A client reports urinary frequency and burning. To determine whether there is tenderness that indicates the presence of an ascending urinary tract infection, the nurse should palpate which area? A. Tail of Spence B. Suprapubic area C. McBurney point D. Costovertebral Angle

D

A nurse is counseling a woman who has had recurrent urinary tract infections. Which factor should the nurse explain is the reason why women are at a greater risk than men for contracting a urinary tract infection? A. Altered urinary pH B. Hormonal secretions C. Juxtaposition of the bladder D. Proximity of the urethra to the anus

D

What physiologic alteration does the nurse expect when assessing a 6-month-old infant with bronchiolitis (respiratory syncytial virus [RSV])? A. Decreased heart rate B. Intercostal retractions C. Increased breath sounds D. Prolonged expiratory phase

D

Which drug prescribed to a client with a urinary tract infection (UTI) turns urine reddish-orange in color? A. Amoxicillin B. Ciprofloxacin C. Nitrofurantoin D. Phenazopyridine

D

Which is the priority nursing action to decrease the risk for a client developing a hospital-acquired infection? A. Using droplet precautions B. Using contact precautions C. Using airborne precautions D. Using standar precautions

D

Which urinalysis finding indicates a urinary tract infection? A. Presence of crystals B. Presence of bilirubin C. Presence of ketones D. Presence of leukoesterase

D