QuestionAugust 15, 2025

A client reports feeling achy and weak, being tired and coughing all the time,having frequent headaches, and experiencing night sweats.The client's assessment is significant for crackles scattered throughout the lungs, dependent peripheral edema +3/+4,S_(3) and S_(4) heart sounds, temperature 102.4^circ F(39.1^circ C) heart rate 110beats/minute respirations 20breaths/minute and blood pressure 105/60 mmHg with a mean arterial pressure of 75 . Which diagnostic procedure should the nurse prepare to do first? Metabolic panel with electrolytes. Complete blood count. Liver function test. Blood culture.

A client reports feeling achy and weak, being tired and coughing all the time,having frequent headaches, and experiencing night sweats.The client's assessment is significant for crackles scattered throughout the lungs, dependent peripheral edema +3/+4,S_(3) and S_(4) heart sounds, temperature 102.4^circ F(39.1^circ C) heart rate 110beats/minute respirations 20breaths/minute and blood pressure 105/60 mmHg with a mean arterial pressure of 75 . Which diagnostic procedure should the nurse prepare to do first? Metabolic panel with electrolytes. Complete blood count. Liver function test. Blood culture.
A client reports feeling achy and weak, being tired and
coughing all the time,having frequent headaches, and
experiencing night sweats.The client's assessment is
significant for crackles scattered throughout the lungs,
dependent peripheral edema +3/+4,S_(3) and S_(4) heart sounds,
temperature 102.4^circ F(39.1^circ C) heart rate 110beats/minute
respirations 20breaths/minute and blood pressure 105/60
mmHg with a mean arterial pressure of 75 . Which diagnostic
procedure should the nurse prepare to do first?
Metabolic panel with electrolytes.
Complete blood count.
Liver function test.
Blood culture.

Solution
4.6(267 votes)

Answer

Blood culture. Explanation 1. Identify Symptoms and Signs The client shows signs of infection (fever, night sweats) and potential heart issues (crackles in lungs, edema, abnormal heart sounds). 2. Determine Priority Diagnostic Test **Blood culture** is critical to identify any bloodstream infection, especially with fever and systemic symptoms.

Explanation

1. Identify Symptoms and Signs<br /> The client shows signs of infection (fever, night sweats) and potential heart issues (crackles in lungs, edema, abnormal heart sounds).<br /><br />2. Determine Priority Diagnostic Test<br /> **Blood culture** is critical to identify any bloodstream infection, especially with fever and systemic symptoms.
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