Chapter 89 - Drugs for UTIs

____ ___ is the most common cause of uncomplicated, community-associated UTIs.

Escherichia coli

The nurse is aware that acute cystitis occurs most often in which patient population?

Women of child bearing age

A patient is taking nitrofurantoin (Macrodantin). Which finding should a nurse recognize as an indication that the treatment is having an undesired effect?

Dyspnea with chills

Most cases (more than 80%) of uncomplicated, community-acquired urinary tract infection (UTI) are caused by which bacteria?

Escherichia coli

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?

FLank pain

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?

Fosfomycin

A nurse assesses the history of a patient who has had multiple complicated UTIs for which risk factors?

Indwelling catheter Prostate hypertrophy Urinary tract stones

Which outcomes should a nurse establish when planning care for a patient taking methanamine (Mandelamine)?

Maintains a urine pH of 5.5 or lower Uses an enteric-coated formula Avoids sulfonamide medication

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?

Muscle weakness and tingling

With the exception of pyelonephritis, the nurse is aware that most urinary tract infections are treated by which method?

Oral antibiotics in the home setting

____ of recurrent UTI can be achieved with daily low doses of oral antibiotics (eg, trimethoprim/sulfamethoxazole)

Prophylaxis

The nurse identifies which statements about frequent urinary tract reinfections as true?

Reinfections are considered frequent if the individual has three or more a year If reinfection is associated with sexual intercourse, the risk can be reduced by instructing the patient to void after intercourse If a symptomatic episode occurs, the standard therapy for acute cystitis should be used

___________________ is frequently the treatment of choice for oral therapy of UTIs.

Trimethoprim/sulfamethoxazole

Many drugs, including penicillins, cephalosporins, and fluoroquinolones, ay be used for ____ therapy of UTIs.

parenteral

Except for ____, most UTIs can be treated with oral therapy at home.

pyelonephritis

Nitrofurantoin, a urinary tract antiseptic, is a drug of coice for ____ ____.

uncomplicated cystitis