Q1. The patient diagnosed with a community-acquired pneumonia is being admitted to the unit. Which doctor's order should be implemented first?
- Place patient in respiratory isolation
- Obtain a sputum specimen for culture and sensitivity
- Administer Rocephin 50 mg IVPB every 24 hours
- Apply oxygen 2 L via nasal cannula
Show answer and explanation
Answer: B. Obtain a sputum specimen for culture and sensitivity
A. The nurse should administer the prescribed antibiotic as soon as possible but not before obtaining sputum culture. B. The patient with pneumonia needs more than 2 L oxygen via nasal cannula, which would be appropriate for a patient diagnosed with chronic obstructive pulmonary disease. C. The nurse needs to obtain a sputum culture before administering antibiotic because the culture and sensitivity will be skewed if the patient receives antibiotics. This should be the first HCP implemented. D. The patient with pneumonia is not placed in respiratory isolation. This HCP order should be questioned.