When caring for a client with a wound infection, which action should the nurse perform first in the plan of care?
- A. Administer antibiotic medication.
- B. Obtain a wound specimen for culture.
- C. Review WBC laboratory findings.
- D. Apply a dressing to the wound.
Correct Answer: B
Rationale: The priority action when caring for a client with a wound infection is to obtain a wound specimen for culture before initiating antibiotic therapy. This step is crucial to identify the specific microorganism causing the infection, allowing for targeted antibiotic treatment. Reviewing WBC laboratory findings and applying a wound dressing are important steps but come after obtaining a wound specimen for culture to guide appropriate antibiotic therapy.
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A client has a new prescription for hydrochlorothiazide to treat hypertension. Which of the following instructions should be included?
- A. Take the medication in the morning.
- B. Increase intake of potassium-rich foods.
- C. Avoid sun exposure while taking this medication.
- D. Limit fluid intake to 1 liter per day.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
What are the actions of the drug metformin?
- A. Decreases hepatic glucose production and intestinal glucose absorption
- B. Increases sensitivity to insulin
- C. Short-term sedation
- D. Both A and B
Correct Answer: D
Rationale: Metformin has dual actions by decreasing hepatic glucose production and intestinal glucose absorption, which helps in reducing blood glucose levels, and it also increases sensitivity to insulin, aiding in its proper utilization within the body. Therefore, the correct answer is D, as metformin performs both of these actions.
Which medication is contraindicated with Nitroglycerin?
- A. Hydrochloroquine
- B. Methylprednisolone
- C. Phenazopyridine
- D. Erectile dysfunction drugs
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
What is one therapeutic use for nitroglycerin?
- A. Relief or prevention of anginal attacks
- B. Diuresis and mobilization of excess fluid
- C. Decrease nausea and vomiting
- D. Relief of anxiety
Correct Answer: A
Rationale: Nitroglycerin is primarily used for the relief or prevention of anginal attacks. It works by dilating blood vessels, increasing blood flow and oxygen to the heart muscle, thereby relieving chest pain caused by angina. The medication is not indicated for diuresis, antiemetic effects, or anxiety relief.
A client is starting a new prescription for ferrous sulfate. Which of the following instructions should the nurse include?
- A. Take the medication with meals.
- B. Take the medication on an empty stomach.
- C. Take the medication with orange juice to enhance absorption.
- D. Take the medication with a full glass of milk.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.