Urinary Tract Infection Real Life RN 4.0, UTI
What additional information would assist Nurse Craig in preparing to care for Mrs. Jordan? List 5
additional pieces of information that should have been included in the report. - Answer- 1.
Levofloxacin (Levaquin) - How much was given and when is the next dose?
2. Agitation - The client's baseline level of orientation. Is this agitation new or getting worse? How
do you know she is tired? Did she tell you that or is she sleeping on and off?
3. Probable discharge in next 24 hr - Is there a discharge order or plan?
4. Output - Amount, color and characteristic of urine.
5. IV - The type and amount of IV solution given since arrival in the emergency department. The
type and rate of IV solution that is currently infusing. Location of IV site and size of catheter.
6. Vital signs - Range of vital signs, including O2 saturation. Current vital signs.
7. Blood glucose - Results of blood glucose and time obtained.
8. Social status - Any significant others that are with her. Individuals who should be contacted
about hospitalization. 9. Medical history - Pre-existing conditions, allergies, and home medications
and adherence.
10. Other - Normal level of activity, history of falls, and diet at home.
Nurse Craig is assessing Mrs. Jordan. Which of the following actions should the nurse take next? -
Answer- Apply oxygen per nasal cannula at 2 L/min
Nurse Craig observes that Mrs. Jordan is restless and having increased difficulty breathing. Which
of the following assessments is appropriate for Mrs. Jordan's needs at this time? - Answer- Rapid
focused assessment
Based on the findings from the rapid focused assessment, which of the following actions should
Nurse Craig perform first? - Answer- Increase oxygen to 4 L/min
Nurse Craig has received a bag of medications from Mrs. Jordan's home. He reviews each of the
medications. Which of the following is the best action for Nurse Craig to take at this time? -
Answer- Request medication reconciliation with pharmacy.
Nurse Craig has reviewed Mrs. Jordan's medications received from her home. Nurse Craig labels
the medication bag and locks the medications in a cabinet. Based on events so far, which of the
following best describes Mrs. Jordan's priority underlying medical condition? - Answer- Cardiac
Mrs. Jordan has experienced increased respiratory distress during the past 2 hr. Since admission,
she has received 2,550 mL IV and 100 mL orally. Her urinary output since admission to the
medical-surgical unit has been 100 mL. Which of the following clinical manifestations indicates
exacerbation of heart failure and should be reported to the provider? (Select all that apply.) -
Answer- Dependent Pitting edema
Crackles in the lungs
The provider has just informed Mrs. Jordan that due to her cardiac condition she is not a candidate
for surgery. Mrs. Jordan is tearful and has a frightened look on her face. Which of the following is
an appropriate statement by Nurse Craig? - Answer- "Tell me about the concerns you have."
What additional information would assist Nurse Craig in preparing to care for Mrs. Jordan? List 5
additional pieces of information that should have been included in the report. - Answer- 1.
Levofloxacin (Levaquin) - How much was given and when is the next dose?
2. Agitation - The client's baseline level of orientation. Is this agitation new or getting worse? How
do you know she is tired? Did she tell you that or is she sleeping on and off?
3. Probable discharge in next 24 hr - Is there a discharge order or plan?
4. Output - Amount, color and characteristic of urine.
5. IV - The type and amount of IV solution given since arrival in the emergency department. The
type and rate of IV solution that is currently infusing. Location of IV site and size of catheter.
6. Vital signs - Range of vital signs, including O2 saturation. Current vital signs.
7. Blood glucose - Results of blood glucose and time obtained.
8. Social status - Any significant others that are with her. Individuals who should be contacted
about hospitalization. 9. Medical history - Pre-existing conditions, allergies, and home medications
and adherence.
10. Other - Normal level of activity, history of falls, and diet at home.
Nurse Craig is assessing Mrs. Jordan. Which of the following actions should the nurse take next? -
Answer- Apply oxygen per nasal cannula at 2 L/min
Nurse Craig observes that Mrs. Jordan is restless and having increased difficulty breathing. Which
of the following assessments is appropriate for Mrs. Jordan's needs at this time? - Answer- Rapid
focused assessment
Based on the findings from the rapid focused assessment, which of the following actions should
Nurse Craig perform first? - Answer- Increase oxygen to 4 L/min
Nurse Craig has received a bag of medications from Mrs. Jordan's home. He reviews each of the
medications. Which of the following is the best action for Nurse Craig to take at this time? -
Answer- Request medication reconciliation with pharmacy.
Nurse Craig has reviewed Mrs. Jordan's medications received from her home. Nurse Craig labels
the medication bag and locks the medications in a cabinet. Based on events so far, which of the
following best describes Mrs. Jordan's priority underlying medical condition? - Answer- Cardiac
Mrs. Jordan has experienced increased respiratory distress during the past 2 hr. Since admission,
she has received 2,550 mL IV and 100 mL orally. Her urinary output since admission to the
medical-surgical unit has been 100 mL. Which of the following clinical manifestations indicates
exacerbation of heart failure and should be reported to the provider? (Select all that apply.) -
Answer- Dependent Pitting edema
Crackles in the lungs
The provider has just informed Mrs. Jordan that due to her cardiac condition she is not a candidate
for surgery. Mrs. Jordan is tearful and has a frightened look on her face. Which of the following is
an appropriate statement by Nurse Craig? - Answer- "Tell me about the concerns you have."
