A 90 year-old female is brought to the ER from her nursing home. The staff report that the patient is acting weird and has had a fever for a few days. You assess the patient's temperature and it is 103 F orally. Which labs are important to collect for this patient? Select all that apply.

 

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Correct

- Complete Blood Count

- Blood Cultures

- Urine sample

- Flu swab

- POC glucose

Rationale

The CBC tells you if there is an abnormally high WBC count, and the blood cultures will help you get a more specific bacterial source if it is present. It's essential to draw blood cultures prior to initiating antibiotics and as this patient wil most likely be promptly started on them, obtaining this lab quickly is important. Also, in the elderly population, it is important to check for a UTI because they are at particularly high risk. Whenever confusion is present, assessing the gluocse is essential to rule out any hyperglycemia or hypoglycemia. The assessment findings are not necessarily consistent with a flu diagnosis, outside of a fever. Typically additional symptoms are present. This clinical picture is not consistent with a typical flu presentation.

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NCLEX Category

Management of Care

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Correct - 11
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Question ID - 368906

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