Ch 89

The nurse is working with a patient who has a UTI. Because patient adherence to a medication regimen is a concern, the nurse anticipates use of which medication? A Fosfomycin B Amoxicillin C Cephalexin D Trimethoprim

A

Which outcomes should a nurse establish when planning care for a patient taking methenamine [Mandelamine]? (Select all that apply.) A Maintains a urine pH of 5.5 or lower. B Consumes 3000 mL of liquid daily. C Uses an enteric-coated formulation. D Avoids sulfonamide medications. E No elevation in liver enzymes.

ACD

The nurse identifies which statements about frequent urinary tract reinfections as true? (Select all that apply.) A Reinfections are considered frequent if the individual has three or more a year. B Prophylactic therapy should continue for at least 2 months. C If reinfection is associated with sexual intercourse, the risk can be reduced by instructing the patient to void after intercourse. D Single-dose nitrofurantoin 50 mg taken 1 hour before intercourse has been found to reduce the rate of reinfection. E If a symptomatic episode occurs, the standard therapy for acute cystitis should be used.

ACE

A patient is taking nitrofurantoin [Macrodantin]. Which finding should a nurse recognize as an indication that the treatment is having an undesired effect? A Hyperpigmentation of the palms B Dyspnea with chills C Gum irritation with bleeding D Scalp tenderness and thinning hair

B

A patient who has acute cystitis is receiving treatment with trimethoprim/sulfamethoxazole. Which manifestation should indicate to a nurse that the patient's condition is worsening? A Incontinence B Flank pain C 3+ pedal edema D Hyperactive bowel sounds

B

Most cases (more than 80%) of uncomplicated, community-acquired urinary tract infection (UTI) are caused by which bacteria? A Klebsiella pneumoniae B Escherichia coli C Enterobacter spp. D Pseudomonas spp.

B

A nurse assesses the history of a patient who has had multiple complicated UTIs for which risk factors? (Select all that apply.) A Female gender, child-bearing age B Indwelling catheter C Prostate hypertrophy D Fair skin tone E Urinary tract stones

BCE

The nurse is aware that acute cystitis occurs most often in which patient population? A Older-adult male patients B Children younger than 12 years C Women of child-bearing age D Women older than 50 years

C

A patient is to begin taking nitrofurantoin [Macrodantin]. The nurse should teach the patient that which manifestation should be the priority to report to the healthcare provider? A Headache and drowsiness B Brown-colored urine C Nausea and vomiting D Muscle weakness and tingling

D

With the exception of pyelonephritis, the nurse is aware that most urinary tract infections are treated by which method? A IV antibiotics at the hospital B IV antibiotics in the urgent care setting C IM antibiotics at the primary physician's office D Oral antibiotics in the home setting

D