Practice Quiz

NCLEX-RN

Category - Physiological

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A male client is a known diabetic on daily insulin administration. The client is rushed to the facility due to a foul smelling and draining wound on the left leg. The client complains of pain and limited mobility. Which of the following is the priority action of the nurse?
  1. Administer a broad-spectrum antibiotic.
  2. Obtain a wound culture.
  3. Check the client’s blood glucose level.
  4. Initiate contact precautions.
Explanation
Answer: B - The priority action is to obtain a wound culture before the administration of broad-spectrum antibiotics. Administering antibiotics before obtaining specimens for culture can have a significant effect on the results of the tests. These medications can alter the microbial population. Checking the blood glucose is not correct. Glucose does not have an effect on maintaining reliable and appropriate cultures.
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