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    Ati RN Fundamentals 2023 proctored exam
    Select All That Apply

    A nurse is caring for a client who has a urinary tract infection. Exhibits The nurse is reviewing the client's medical record. Which of the following actions should the nurse take? Select all that apply.

    Explanation & Rationale

    A. Clarify the prescription for amoxicillin with the provider: Amoxicillin is a penicillin derivative, and the client has penicillin allergy. Administering this medication could cause an allergic reaction. The nurse should contact the provider to prescribe an alternative antibiotic. B. Ensure the client wears a surgical mask when they are outside of their room: A surgical mask is not necessary for a urinary tract infection, as UTIs are not spread via respiratory droplets. The client does not require respiratory precautions. C. Recommend increasing the dose of metoprolol: The client's blood pressure and pulse are within acceptable ranges, with no indication of inadequate response to metoprolol. There is no need to increase the dose at this time. D. Request a prescription for an antiemetic medication: The client is experiencing nausea, which could hinder fluid and food intake. An antiemetic could help alleviate symptoms, improve comfort, and support nutritional intake, so requesting one is appropriate. E. Place the client on contact precautions: The client is on metronidazole, which can be used for C. difficile. The client has loose stools, which may indicate a gastrointestinal infection. Until a definitive diagnosis is made, contact precautions should be implemented to prevent the potential spread of infection to other patients. F. Hold the dose of levothyroxine: The client’s hypothyroidism is managed with levothyroxine, and there is no indication to hold the medication. Discontinuing it could disrupt thyroid function, so the nurse should continue administering it as prescribed.

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