The nurse is preparing to start intravenous antibiotics as ...

[Jkov05]

The nurse is preparing to start intravenous antibiotics as ordered. The nurse notes that a culture and sensitivity has been ordered. What should the nurse do prior to starting the intravenous antibiotics?
 
  1. Assess vital signs.
  2. Collect the ordered culture and sensitivity specimen.
  3. Start intravenous antibiotics.
  4. Obtain culture after two doses have been given.

Question 2

The nurse is preparing to collect a stool specimen. Place the steps involved in the procedure in the correct order.
 
  Click on the down arrow for each response in the right column and select the correct choice from the list.
  Response 1. Provide for client privacy.
  Response 2. Assist the clients who need help, either with bedside commode or a bedpan.
  Response 3. Perform hand hygiene and observe other appropriate infection control procedures.
  Response 4. Apply gloves to prevent contamination, and clean the client as required. Inspect the skin around the anus for any irritation, especially if the client defecates frequently and has liquid stools.
  Response 5. Transfer the required amount of stool to the stool specimen container. Use tongue blades to transfer some or all of the stool specimen container, taking care not to contaminate the outside of the container.
  Response 6. Prior to beginning of procedure, introduce self and verify the client's identity. Explain what is going to be done, why it is necessary, and how the client can help.

[mcinincha279]

Answer to Question 1

Correct Answer: 2

The culture and sensitivity must be obtained prior to the first dose of antibiotics being administered. This is the priority. Although it is important to assess the client's vital signs, this is not the priority in this situation.

Answer to Question 2

Correct Answer: 6,3,1,2,4,5

Introducing yourself to the client, verifying the client's identity, and explaining what will be done and how the client may assist is the first step in obtaining a stool specimen. Performing hand hygiene and observing for other appropriate infection control measures is done immediately prior to starting the procedure of collecting a stool specimen. Providing privacy occurs prior to starting the procedure in which to collect the stool specimen. Assisting the client to a bedside commode or a bedpan is done after hand hygiene and providing for client privacy. Applying gloves, cleaning the client, and inspecting the skin around the anus for irritation is done after performing hand hygiene but prior to obtaining the stool specimen. Transferring the correct amount of stool into the specimen container is the last step in stool specimen collection.