Question

1. The RN is caring for a patient with a wound infection. Which of the following actions should the RN perform first? A. Administer antibiotics B. Obtain a wound specimen for culture C. Review WBC laboratory findings D. Apply a dressing to the wound 2. The RN is caring for a client diagnosed with a urinary tract infection. The patient asks which antibiotic he/she will be prescribed. The RN states the provider is waiting for the following laboratory test to return. A. Gram statin B. Culture C. Sensitivity D. Specific gravity _3. A health care provider prescribed Penicillin for a patient with a Staphylococcal infection. The RN will provide the following instructions when using Penicillin? A. "When you feel better you may stop the drug." B. "Do not take this drug if you're allergic to Gentamycin." C. "Use additional contraceptive method when taking penicillins." D. “We will monitor your hearing when taking this drug." 4.Gentamycin has the following complications the RN will monitor for. A. Diarrhea B. Loss of appetite C. Ototoxicity D. Hyperkalemia

Answer 1

1. option C- The nurse do the assessment first, including history , physical examination and review of the lab tests. after assessment only she will proceed to further steps. Here option C is the assessment step and all other options are implementations.

2. option B- Urine culture is done to find out the specific bacteria causing the urinary tract infection and antibiotics are prescribed accordingly. The culture of the urine helps to find out the specific organism causing infection and the antibiotic against that can be administered to get cure fast.

3. option C - Use additional contraceptive methods while using Penicillin, because Penicillin can make birth control pills less effective.

4. option C- Gentamycin group of medications can cause hearing disorder in a patient, because it is Ototoxic (harmful to ears).