/*! This file is auto-generated */ .wp-block-button__link{color:#fff;background-color:#32373c;border-radius:9999px;box-shadow:none;text-decoration:none;padding:calc(.667em + 2px) calc(1.333em + 2px);font-size:1.125em}.wp-block-file__button{background:#32373c;color:#fff;text-decoration:none} Problem 9 A pregnant woman seeks help for ... [FREE SOLUTION] | 91Ó°ÊÓ

91Ó°ÊÓ

A pregnant woman seeks help for a UTI. The physician places the client on antibiotics. Which of the following nursing actions is appropriate for this client? a. Stop medication as soon as symptoms subside b. Stop medications if symptoms do not improve the 3rd day of administration c. Obtain specimen for culture and sensitivity immediately after initiating d. Administer around the clock at timed intervals

Short Answer

Expert verified
Option d: Administer around the clock at timed intervals.

Step by step solution

01

Understand the Symptoms of UTI

A urinary tract infection (UTI) involves an infection in any part of the urinary system. Common symptoms include a strong urge to urinate, a burning sensation during urination, cloudy or strong-smelling urine, etc.
02

Review the Appropriate Use of Antibiotics

Antibiotics are prescribed to eliminate bacterial infections. It’s essential to take them as prescribed, even if symptoms subside, to ensure the infection is fully cleared.
03

Evaluate Each Option

a. Stopping medication as soon as symptoms subside can lead to incomplete treatment and recurrence of infection. b. Stopping medications if symptoms do not improve by the 3rd day of administration is not standard practice and should be reassessed by a healthcare provider. c. Obtaining a specimen for culture and sensitivity is done before initiating antibiotics to identify the bacteria and appropriate antibiotic. d. Administering antibiotics around the clock at timed intervals ensures consistent levels of medication in the bloodstream, which is crucial for effective treatment.
04

Choose the Best Option

Administering antibiotics around the clock at timed intervals (Option d) is the best nursing action for effective treatment and to prevent the spread of infection and resistance.

Unlock Step-by-Step Solutions & Ace Your Exams!

  • Full Textbook Solutions

    Get detailed explanations and key concepts

  • Unlimited Al creation

    Al flashcards, explanations, exams and more...

  • Ads-free access

    To over 500 millions flashcards

  • Money-back guarantee

    We refund you if you fail your exam.

Over 30 million students worldwide already upgrade their learning with 91Ó°ÊÓ!

Key Concepts

These are the key concepts you need to understand to accurately answer the question.

UTI management in pregnancy
Urinary Tract Infections (UTIs) are common during pregnancy due to anatomical and hormonal changes. The growing uterus can press on the bladder, making it harder to completely empty and leading to infections. Pregnant women are at higher risk of complications, so timely and effective management is crucial.

Management includes regular prenatal visits and urine screenings to catch infections early. Symptoms like a burning sensation during urination, frequent urination, and cloudy urine should not be ignored.

Nursing actions include educating the patient on hydration, proper perineal hygiene, and the importance of completing any prescribed antibiotic course.
Appropriate antibiotic use
Appropriate antibiotic use is crucial, especially during pregnancy, to ensure the safety of both mother and baby. Taking antibiotics as prescribed by the physician is essential to effectively clear the infection and prevent antibiotic resistance.

The prescribed antibiotics should be safe for pregnancy. It's essential to monitor for any side effects and report them immediately.

Stopping antibiotics early when symptoms subside can lead to incomplete treatment. This not only risks a recurrence of the infection but also contributes to the development of resistant bacteria. Compliance with the medication regimen cannot be overstated.
Nursing actions for infection control
Infection control is vital in managing UTIs in pregnant women. Nurses play an essential role in this by performing critical actions designed to prevent the spread of infection.

Some key actions include:
  • Practicing proper hand hygiene before and after patient care
  • Educating patients on the importance of completing antibiotics
  • Ensuring a clean and sterile environment for procedures

Education on urinary hygiene practices, such as wiping front to back and staying well-hydrated, can further aid in preventing UTIs. Close monitoring of symptoms and timely reporting to the healthcare provider are also crucial components.
Timed interval medication administration
Timed interval medication administration is critical for maintaining the effectiveness of antibiotics. Administering antibiotics at consistent intervals ensures that there are constant therapeutic levels of the drug in the bloodstream.

This consistency helps in effectively killing the bacteria causing the infection and preventing the development of resistance.

Nurses need to educate patients on the importance of taking their medication exactly as prescribed. Missed doses can lead to fluctuating drug levels, which may diminish effectiveness and contribute to bacterial resistance.

One App. One Place for Learning.

All the tools & learning materials you need for study success - in one app.

Get started for free

Most popular questions from this chapter

A client has a surgical procedure on the urinary system. Which are potential postoperative problems for which the nurse must monitor? (Mark all that apply) a. surgery on any part of the urinary tract may result in bleeding. b. surgical blood loss could decrease renal perfusion. c. anesthetics may decrease the perception of the need to void. d. urethra may swell following cystoscopy or catheterization.

A nurse inserts a urinary catheter into the bladder immediately after the child has voided. The child's mother asks why the nurse does this since the child has voided. The nurse explains that this procedure checks for retained urine referred to as a. Insensible b. Residual c. Incidental d. Tubular

The nurse is evaluating a client for a UT1. To correctly assess for costovertebral angle tenderness, the nurse would a. use fist percussion performed bilaterally on the posterior chest below the rib cage. b. have the client contract pelvic floor muscles for 10 seconds, then relax them for 10 seconds. c. apply pressure over symphysis pubis. d. have the client contract abdominal muscles and hold his or her breath while straining.

The client has a history of painless hematuria. The client asks the nurse what to do if it occurs again. The nurse would respond by a. reassuring the client that bleeding is only significant if \(1 \mathrm{t}\) is accompanied by pain. b. instructing the client to seek treatment if it persists past 3 days. c. encouraging prompt reporting of any visible bleeding. d. informing the client that painless hematuria is diagnostic of bladder cancer.

After being diagnosed with pyelonephritis, the client asks the nurse what causes this disorder. The nurse's response would be based on the knowledge that the most common cause of pyelonephritis is/are a. urethritis and cystitis b. potassium imbalances c. sodium imbalances d. uremic syndrome

See all solutions

Recommended explanations on Biology Textbooks

View all explanations

What do you think about this solution?

We value your feedback to improve our textbook solutions.

Study anywhere. Anytime. Across all devices.