Quiz 8

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) Flank pain b) Hyperactive bowel sounds c) Incontinence d) 3+ pedal edema

a) Flank pain

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

a) Prostate hypertrophy b) Urinary tract stones d) Indwelling catheter

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

b) Escherichia coli

A patient with a history of renal calculi has fever, flank pain, and bacteriuria. The nurse caring for this patient understands that it is important for the provider to: a) initiate immediate treatment with broad-spectrum antibiotics. b) begin antibiotic therapy after urine culture and sensitivity results are available. c) refer the patient for intravenous antibiotics and hospitalization. d) give prophylactic antibiotics for 6 weeks after the acute infection has cleared.

b) begin antibiotic therapy after urine culture and sensitivity results are available.

An older male patient comes to the clinic with complaints of chills, malaise, myalgia, localized pain, dysuria, nocturia, and urinary retention. The nurse would most likely suspect that the patient has: a) acute cystitis. b) prostatitis c) urinary tract infection d) pyelonephritis.

b) prostatitis

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) IM antibiotics at the primary physician's office c) Oral antibiotics in the home setting d) IV antibiotics in the urgent care setting

c) Oral antibiotics in the home setting

The nurse is caring for a patient who will begin receiving intravenous ciprofloxacin Cipro] to treat pyelonephritis. The nurse learns that the patient has a history of myasthenia gravis. Which action by the nurse is correct? a) Administer the ciprofloxacin and monitor the patient for signs of muscle weakness. b) Request an order for concurrent administration of metronidazole [Flagyl]. c) Suggest that the provider order a different antibiotic for this patient. d) Ask the provider whether the ciprofloxacin can be given orally.

c) Suggest that the provider order a different antibiotic for this patient.

The nurse notices tan lines around the arms of a female patient who is taking levofloxacin [Levaquin]. Which action should the nurse take? a) Discontinue the medication. b) No action is needed, because this is a temporary but expected side effect. c) Continue the antibiotic with an anti-inflammatory medication. d) Advise the patient to avoid sun exposure and wear sunscreen when outside.

d) Advise the patient to avoid sun exposure and wear sunscreen when outside.

Which patient with a urinary tract infection will require hospitalization and intravenous antibiotics? a) A 5-year-old child with a fever of 100.5°F, dysuria, and bacteriuria b) A young man with dysuria, flank pain, and a previous urinary tract infection c) A pregnant woman with bacteriuria, suprapubic pain, and fever d) An older adult man with a low-grade fever, flank pain, and an indwelling catheter

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

The nurse identifies which medication as posing a significant risk of causing confusion, somnolence, psychosis, and visual disturbances in elderly patients? a) Daptomycin [Cubicin] b) Rifampin [Rifadin] c) Metronidazole [Flagy|] d) Ciprofloxacin [Cipro]

d) Ciprofloxacin [Cipro]