QuestionSBA
QuestionChoice
This is the correct answer. The patient is suffering from a urine infection which is treatable with antibiotics. They have a fever and their white blood cells are likely to be low after their chemotherapy.
10027551
a
Administer antibiotics
QuestionChoice
This is incorrect. The patient is suffering from a urinary tract infection and their advanced care directive permits antibiotic use; they do not want to be for intensive care interventions, which do not appear to be indicated at this stage. A DNACPR decision only applies to cardiopulmonary resuscitation during a cardiac arrest.
10027553
c
Do not treat the patient
QuestionChoice
This is incorrect. The patient's advanced directive that states they do not want intensive care intervention. It also does not seem to be indicated in this stage. Administration of antibiotics should be the first step.
10027555
e
Refer for treatment in the intensive care unit
QuestionChoice
This is incorrect. This would be inappropriate as the patient has the capacity to make decisions for themselves. A DNACPR decision only applies to cardiopulmonary resuscitation during a cardiac arrest.
10027554
d
Encourage cranberry juice
QuestionChoice
This is incorrect. This would be inappropriate as the patient has the capacity to make decisions for themselves. A DNACPR decision only applies to cardiopulmonary resuscitation during a cardiac arrest.
10027552
b
Contact the patient's next of kin to discuss their treatment
Concept
Chapter
2693
5805
DNACPR decisions
Topic
184
Ethics and Law
Administer antibiotics
17908
A 67-year-old woman presents to A&E feeling unwell, with increased frequency of very dark urine and a burning sensation on urination for the past dayShe has a history of Stage 2 breast cancer and completed her last chemotherapy cycle 5 days ago. She has a Do Not Attempt CPR (DNACPR) form with them and an advanced directive that states she does not want intensive care intervention.


On examination, they are tender to palpate in the suprapubic region and are warm to touch. They are alert and oriented and appear to have capacity.


Their observations are as follows:


HR 97bpm.
RR 20bpm.
O2 saturations 97% on air.
BP 115/78.
Temperature 37.9C.


Which of the following is the most appropriate management option?
a