Ch 66 Mod. 1

Which instructions should the nurse give to a patient who has been prescribed trimethoprim/sulfamethoxazole for a urinary tract infection to ensure safe administration? .

"Avoid exposure to the sun." "Increase fluid consumption to 3 liters per day." "Complete the drug regimen even if the symptoms disappear."

A patient with a urinary tract infection is prescribed trimethoprim/sulfamethoxazole. What information does the nurse provide to this patient about taking this drug?

"Be certain to wear sunscreen and protective clothing." "Drink at least 3 liters of fluids every day." "Take this drug with 8 ounces of water." "You will need to take all of the drug to get the benefits."

The nurse educates a group of women who have had frequent urinary tract infections (UTIs) about how to avoid recurrences. Which patient statement shows a correct understanding of what the nurse has taught?

"I should be drinking at least 1.5 to 2.5 liters of fluids every day."

Which statement made by the patient indicates effective learning about tips to prevent urinary tract infections?

"I should clean the perineum from front to back."

Which statement of the patient with interstitial cystitis indicates the need for additional teaching about self-care management?

"I should consume tomato products."

The nurse teaches a female patient about ways to prevent urinary tract infections. Which statements made by the patient indicate effective learning?

"I should drink 3 liters of fluid per day." "I should wash the perineal area before intercourse." "I should include foods rich in vitamin C in my daily diet."

The nurse is questioning a female patient with a urinary tract infection (UTI) about her antibiotic drug regimen. Which statement by the patient indicates a need for further instruction?

"I take my medication only when I have symptoms."

A patient who was previously diagnosed with a urinary tract infection (UTI) and started on antibiotics returns to the clinic 3 days later with the same symptoms. When asked about the previous UTI and medication regimen, the patient states, "I only took the first dose because after that, I felt better." How does the nurse respond?

"Not completing your medication can lead to return of your infection."

Which instruction should the nurse give to a patient who has been prescribed amoxicillin/clavulanate for urinary tract infection?

"Take the medication with food."

The nurse is educating a female patient about hygiene measures to reduce her risk for urinary tract infection (UTI). What does the nurse instruct the patient to do?

"Wipe from front to back."

The health care provider requests phenazopyridine (Pyridium) for a patient with cystitis. What does the nurse tell the patient about the drug?

"Your urine will turn red or orange while on the drug."

What clinical finding in a postmenopausal patient with urethritis does the nurse attribute to low estrogen levels?

A pelvic examination shows tissue changes.

Which condition may occur with an upper urinary tract infection?

Acute pyelonephritis

Which factors may contribute to infectious cystitis?

Age Diabetes mellitus Bowel pathogens

The nurse is caring for patients on a renal/kidney medical-surgical unit. Which drug, requested by the health care provider for a patient with a urinary tract infection (UTI), does the nurse question?

Carbamazepine

Which complication may occur in a patient who is receiving ciprofloxacin treatment?

Cardiac dysrhythmia

Which action reduces the risk of urinary tract infections after abdominal surgery?

Changing the coated catheters after 3 to 5 days

A patient with a pulse rate of 130 beats per minute, a white blood cell count of 14,000 per microliter, and the presence of red blood cells in the urine has fever, nocturia, pyuria, and low back pain. Which medication would the nurse expect to see ordered?

Ciprofloxacin

What does the nurse teach a patient with cystitis about preventing further flare-ups of the disease?

Consume at least 2 to 3 L of fluids daily.

The nurse is caring for a patient with cystitis. What does the nurse ask the patient to include in the diet as part of nutritional therapy?

Cranberry juice

Which diagnostic test can be used to palpate the prostate?

Digital rectal examination

A patient is prescribed trimethoprim/sulfamethoxazole for urinary tract infection (UTI). What does the nurse instruct the patient about this therapy?

Disclose any allergies to sulfa drugs before beginning therapy. Wear sunscreen and protective clothing when out in the sun. Drink a full glass of water with each dose of the drug.

The nurse is teaching a group of older adult women about the signs and symptoms of urinary tract infection (UTI). Which concepts does the nurse explain in the presentation?

Dysuria Frequency Nocturia Urgency

What clinical manifestations does the nurse expect to find in an older patient with a urinary tract infection (UTI)?

Dysuria Increasing mental confusion Sudden onset of incontinence

The nurse is assessing a female patient who has a history of recurrent urinary tract infection (UTI) after sexual intercourse. What does the nurse teach this patient to prevent future infections?

Empty the bladder before and after intercourse.

A patient in the hospital has an indwelling catheter. What intervention does the nurse perform to prevent catheter-related infection?

Ensure the urine collection bag is below bladder level.

Which organism is most likely to cause infectious cystitis?

Escherichia coli

Which condition is likely to occur in a patient who is on immunosuppressant medication?

Fungal urinary tract infection

The nurse finds that a patient receiving treatment for urinary tract infection has blurred vision, confusion, dizziness, fast heartbeat, fever, and difficulty in urination. Which medication does the nurse suspect is the cause?

Hyoscyamine

The nurse is instructing an older adult female patient about interventions to decrease the risk for cystitis. Which patient comment indicates that the teaching was effective?

I should drink 2½ liters of fluid every day."

In what location would the nurse expect to find infection in a patient with acute pyelonephritis?

Kidneys

Which nursing intervention is beneficial for a patient reporting irritation in the bladder who is taking cranberry capsules to treat a urinary tract infection?

Notifying the primary health care provider

Which patient is a likely candidate for a fungal infection of the urinary tract?

Patient receiving corticosteroids

Which nursing intervention or practice is most effective in helping to prevent urinary tract infection (UTI) in hospitalized patients?

Periodically reevaluating the need for indwelling catheters

What medication for treating a urinary tract infection may cause red-colored urine when voiding?

Phenazopyridine

What leads the nurse to determine that a urine specimen taken for a urine culture has been contaminated?

Presence of different organisms in low colony counts

Which complication does the nurse monitor for in a pregnant patient who is diagnosed with cystitis?

Preterm labor

Which factor does the nurse suspect to be responsible for cystitis due to a fungal infection in a patient?

Prolonged use of antibiotics

The nurse is assessing a patient with frequency-dysuria syndrome whose culture test reveals the presence of Chlamydia. Which finding may provide further evidence for the diagnosis?

Pyuria

A patient who is 6 months pregnant comes to the prenatal clinic with a suspected urinary tract infection (UTI). What action does the nurse take with this patient?

Refers the patient to the clinic nurse practitioner (CNP) for immediate follow-up

Which complication may occur in a patient with asymptomatic bacterial urinary tract infection (ABUTI)?

Renal insufficiency

What complication may the nurse expect in an older patient with an indwelling catheter for urinary continence?

Risk for infection

Which antibiotic for treating cystitis may cause side effects of sunburn and skin darkening?

Sulfamethoxazole

A patient is ordered phenazopyridine to reduce bladder pain and burning on urination. What does the nurse teach the patient about this drug regimen?

Take the drug with a meal.

Which patient has the highest risk of fungal urinary tract infection?

The patient on corticosteroids

The nurse is teaching a student nurse about a urinary catheterization. Which action by the student nurse indicates the need for further teaching?

The student nurse places the urine collection bag above the bladder.

Which patients with an indwelling urinary catheter does the nurse reassess to determine whether the catheterization needs to be continued or discontinued?

Three-day postoperative patient Patient in the step-down unit Incontinent older adult in long-term care

What is the rationale behind the nurse instructing a patient to avoid taking fosfomycin with metoclopramide?

To increase absorption of fosfomycin

A 32-year-old female with a urinary tract infection (UTI) reports urinary frequency, urgency, and some discomfort upon urination. Her vital signs are stable except for a temperature of 100° F. Which drug does the health care provider prescribe?

Trimethoprim/sulfamethoxazole

The nurse in the urology clinic is providing teaching for a female patient with cystitis. Which instructions does the nurse include in the teaching plan?

Try to take in 64 ounces of fluid each day. Be sure to complete the full course of antibiotics. If urine remains cloudy, call the clinic.

Which diagnostic test would be instrumental in diagnosing a patient with a suspected urinary tract infection (UTI) if the laboratory report shows pyuria and the presence of 24 epithelial cells/high power field (hpf)?

Urinalysis

Which test should be performed if urine reflux is suspected?

Voiding cystourethrography

Which nursing interventions would be beneficial to the patient who is on fluoroquinolone therapy?

Warning the patient not to take the drug within 2 hours of taking an antacid Teaching the patient to swallow extended release drugs and not to crush or chew the tablets Teaching the patient to keep out of the sun or to wear protective clothing and use a sunscreen

A female patient has acquired a urinary tract infection (UTI) for the second time. What does the nurse instruct the patient to do to prevent future infections?

Wear loose-fitting cotton underwear. Take 2 tablespoons of apple cider vinegar three times daily. Take prescribed antibiotics as directed and schedule a follow-up. Eugene on target

The nurse is caring for a patient who has pyuria. What does the urinalysis reveal in this patient?

White blood cells in the urine.