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You are a student nurse working in an emergency department when Melody Zapata, an 89-year-old female is admitted. With her, is her daughter.  Melody’s daughter has informed you that she is very concerned about her mother. She has noticed her mother has had increased episodes of incontinence. At times, she noticed rose coloured urine. She has also had a 4-day history of non-localised abdominal discomfort, new-onset mental confusion, and loose stools. Her most recent vital signs are 118/60, HR 88, RR 18, SpO2 37.4 deg Celsius). The doctor ordered a post-void catheterisation, which yielded 100mL of cloudy urine that had a strong odour. A urinalysis was performed. Melody was diagnosed with a urinary tract infection (UTI).---------------------------------------------The doctor orders for IV dextrose 5% at 75ml/hr, and IV antibiotics of ciprofloxacin (400mg) q12hr. ---------------------------------------------Question 7Not yet answeredMarked out of 1.00Flag questionTipsQuestion textNote: This question contains multiple correct answers. For any correct opition you select, a percentage will be awarded. For any incorrect option you select, a percentage will be deducted. Do not worry however, you cannot receive a negative score.--------------------------------------Prior to administering any IV fluids or antibiotics, it is crucial to perform the rights of medication administration. Consider the drug order below.Question 7Answera.Observe and monitor for increased intracranial pressureb.Observe and monitor BGLsc.Do not administer peripherallyd.Observe and monitor for signs of fluid overloade.Document baseline data of vital signs, oedema, lung sounds, heart soundsf.Educate patient and family about signs and symptoms of fluid overloadg.Do not administer alongside blood productsh.Patient must not mobilise in case of falli.Monitor vital signs prior to starting, and 15 minutes into the infusionj.Monitor sodium levels

Question

You are a student nurse working in an emergency department when Melody Zapata, an 89-year-old female is admitted. With her, is her daughter.  Melody’s daughter has informed you that she is very concerned about her mother. She has noticed her mother has had increased episodes of incontinence. At times, she noticed rose coloured urine. She has also had a 4-day history of non-localised abdominal discomfort, new-onset mental confusion, and loose stools. Her most recent vital signs are 118/60, HR 88, RR 18, SpO2 37.4 deg Celsius). The doctor ordered a post-void catheterisation, which yielded 100mL of cloudy urine that had a strong odour. A urinalysis was performed. Melody was diagnosed with a urinary tract infection (UTI).---------------------------------------------The doctor orders for IV dextrose 5% at 75ml/hr, and IV antibiotics of ciprofloxacin (400mg) q12hr. ---------------------------------------------Question 7Not yet answeredMarked out of 1.00Flag questionTipsQuestion textNote: This question contains multiple correct answers. For any correct opition you select, a percentage will be awarded. For any incorrect option you select, a percentage will be deducted. Do not worry however, you cannot receive a negative score.--------------------------------------Prior to administering any IV fluids or antibiotics, it is crucial to perform the rights of medication administration. Consider the drug order below.Question 7Answera.Observe and monitor for increased intracranial pressureb.Observe and monitor BGLsc.Do not administer peripherallyd.Observe and monitor for signs of fluid overloade.Document baseline data of vital signs, oedema, lung sounds, heart soundsf.Educate patient and family about signs and symptoms of fluid overloadg.Do not administer alongside blood productsh.Patient must not mobilise in case of falli.Monitor vital signs prior to starting, and 15 minutes into the infusionj.Monitor sodium levels

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Solution

The correct answers for this question are:

b. Observe and monitor BGLs: It's important to monitor blood glucose levels (BGLs) when administering IV dextrose, as it can affect blood sugar levels.

d. Observe and monitor for signs of fluid overload: This is crucial when administering any IV fluids, as fluid overload can lead to complications such as heart failure.

e. Document baseline data of vital signs, oedema, lung sounds, heart sounds: This provides a reference point to monitor the patient's response to the treatment.

f. Educate patient and family about signs and symptoms of fluid overload: This is important so they can report any changes immediately.

i. Monitor vital signs prior to starting, and 15 minutes into the infusion: This helps to identify any adverse reactions early.

The other options are not directly related to the administration of IV dextrose and ciprofloxacin. For example, there's no need to monitor for increased intracranial pressure (option a) or to avoid administering peripherally (option c). Similarly, there's no need to avoid mobilisation (option h) or to monitor sodium levels (option j), unless specifically indicated by the patient's condition or the doctor's orders.

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Time left 0:24:59InformationFlag questionInformation textINFORMATIONYou are a student nurse working in an emergency department when Melody Zapata, an 89-year-old female is admitted. With her, is her daughter.  Melody’s daughter has informed you that she is very concerned about her mother. She has noticed her mother has had increased episodes of incontinence. At times, she noticed rose coloured urine. She has also had a 4-day history of non-localised abdominal discomfort, new-onset mental confusion, and loose stools. Her most recent vital signs are 118/60, HR 88, RR 18, SpO2 37.4 deg Celsius). The doctor ordered a post-void catheterisation, which yielded 100mL of cloudy urine that had a strong odour. A urinalysis was performed. Melody was diagnosed with a urinary tract infection (UTI).---------------------------------------------The doctor orders for IV dextrose 5% at 75ml/hr, and IV antibiotics of ciprofloxacin (400mg) q12hr. ---------------------------------------------Question 11Not yet answeredMarked out of 1.00Flag questionTipsQuestion textAs you enter the room to administer Melody her IV fluids and medication, you notice her daughter has not followed the enteric precautions while in Melody’s room. What would be the most appropriate response?Question 11Answera.“It is good practice to wear gloves and a gown when you enter Melody’s room, but I don’t tell anyone if you don’t.”b.“Can you ensure that you’re appropriately gowned and gloved whenever you enter Melody’s room? This is for the safety of all other patients in the ward.”c.“You must wear appropriate personal protective equipment at all times.”d.“It is important to wear a mask in this room so not to spread any of Melody’s germs.”

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