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(240 votes)

Answer

Blood culture. Explanation 1. Identify Symptoms and Signs The client shows signs of infection: fever, crackles in lungs, night sweats, and elevated heart rate. 2. Determine Diagnostic Priority Blood culture is critical to identify the presence of bacteria or fungi in the blood, especially with symptoms suggesting a systemic infection.

Explanation

1. Identify Symptoms and Signs<br /> The client shows signs of infection: fever, crackles in lungs, night sweats, and elevated heart rate.<br /><br />2. Determine Diagnostic Priority<br /> Blood culture is critical to identify the presence of bacteria or fungi in the blood, especially with symptoms suggesting a systemic infection.
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