Module 2 Ch. 76

A 30-year-old male patient reports having two to four urinary tract infections a year. What will the nurse expect to teach this patient?

"You will need to take a low dose of medication for 6 months to prevent infections."

A pregnant patient with fever, flank pain, & chills has a history of two previous bladder infections before getting pregnant. She is allergic to several antibiotics. She reports having taken methenamine successfully in the past. What will the nurse tell her?

"This agent is not effective against infections of the upper urinary tract."

The parent of a 5-year-old child who has had four urinary tract infections in the past year asks the nurse why the provider doesn't just order an antibiotic for the child's current symptoms of low-grade fever, flank pain, & dysuria since these are similar symptoms as before. Which is the most important reason given by the nurse?

"Your child may need tests to assess for urinary tract abnormalities."

A patient presents to the emergency department with complaints of chills, severe flank pain, dysuria, & urinary frequency. The patient has a temperature of 102.9° F, a pulse of 92 beats/minute, respirations of 24 breaths/minute, & a blood pressure of 119/58 mm Hg. The nurse would be correct to suspect that the patient shows signs & symptoms of:

Pyelonephritis.

A young, nonpregnant female patient with a history of a previous urinary tract infection is experiencing dysuria, urinary urgency & frequency, & suprapubic pain of 3 days' duration. She is afebrile. A urine culture is positive for more than 100,000/mL of urine. The nurse caring for this patient knows that which treatment is most effective?

A 3-day course of trimethoprim/sulfamethoxazole [Bactrim]

Which patient with a urinary tract infection will require hospitalization & intravenous antibiotics?

An older adult man with a low-grade fever, flank pain, & an indwelling catheter

A patient who is taking nitrofurantoin calls the nurse to report several side effects. Which side effect of this drug causes the most concern & would require discontinuation of the medication?

Tingling of the fingers

A patient has a positive urine culture 1 week after completion of a 3-day course of antibiotics. The nurse anticipates that the prescriber will:

Begin a 2-week course of antibiotics.

A patient with a history of renal calculi has fever, flank pain, & bacteriuria. The nurse caring for this patient understands that it is important for the provider to:

Begin antibiotic therapy after urine culture & sensitivity results are available.

A 20-year-old female patient has suprapubic discomfort, pyuria, dysuria, & bacteriuria greater than 100,000/mL of urine. Which are the most likely diagnosis & treatment?

Uncomplicated lower urinary tract infection treatable with short-course therapy

Before giving methenamine [Hiprex] to a patient, it is important for the nurse to review the patient's history for evidence of which problem?

Elevated blood urea nitrogen & creatinine

A pregnant female patient with bacteriuria, suprapubic pain, urinary urgency & frequency, & a low-grade fever is allergic to sulfa, ciprofloxacin, & amoxicillin. The nurse knows that the best alternative for treating this urinary tract infection is with:

Methenamine [Hiprex].

An older male patient comes to the clinic with complaints of chills, malaise, myalgia, localized pain, dysuria, nocturia, & urinary retention. The nurse would most likely suspect that the patient has:

Prostatitis.