Before giving an antibiotic, which action is most important?
Obtaining ordered cultures before antibiotic therapy ensures accurate identification of the infectious organism.
A client with Type 2 diabetes becomes sweaty and shaky during morning care. What should the nurse do first?
Sweating and shakiness may indicate hypoglycemia. Providing a fast-acting carbohydrate is the first priority to quickly raise blood glucose.
A client with heart failure reports sudden weight gain. What should the nurse do?
Sudden weight gain may indicate fluid retention from worsening heart failure. Reporting it quickly allows timely intervention.
Which sign indicates that a client with pneumonia is improving?
Improvement is seen when oxygenation stabilizes and breathing becomes more efficient with fewer symptoms.
A client receiving morphine IV develops slow respirations. What is the priority action?
Respiratory depression is a serious adverse effect of opioids. Stopping the medication and monitoring the client is essential.
The nurse prepares to administer an intramuscular injection to an adult. Which site is preferred?
The ventrogluteal site is safest and preferred for IM injections in adults due to low risk of nerve injury.
A client receiving a blood transfusion develops chills and fever. What is the nurseu2019s first action?
Fever and chills are signs of a transfusion reaction. Stopping the transfusion immediately prevents further exposure.
The nurse is caring for a client on contact precautions. Which action is necessary?
Contact precautions require wearing gloves and a gown whenever entering the clientu2019s room to prevent organism transfer.
A client prescribed furosemide reports leg cramps. Which assessment is most important?
Furosemide may lead to potassium loss, causing muscle cramps. Checking for signs of hypokalemia is priority.