The Client with Urinary Tract infection

68. To prevent recurrence of cystitis, the nurse should plan to encourage the female client to include which measure in her daily routine? 1. wearing cotton underpants 2. increasing citrus juice intake 3. douching regularly with 0.25% acetic acid 4. using vaginal sprays

1. wearing cotton underpants

56. A nurse is assessing a client with a urinary tract infection who takes an antihypertensive drug. The nurse reviews the client's urinalysis results (see chart). The nurse should: Laboratory Test Results Ph 6.8 Red blood cells 3 per high power field Color Yellow Specific gravity 1.030 1. encourage the client to increase fluid intake. 2. withhold the next dose of antihypertensive medication. 3. restrict the client's sodium intake. 4. encourage the client to eat at least half of a banana per day.

1. encourage the client to increase fluid intake.

67. Which statements by a female client would indicate that she is at high risk for a recurrence of cystitis? 1. "I can usually go 8 to 10 hours without needing to empty my bladder." 2. "I take a tub bath every evening." 3. "I wipe from front to back after voiding." 4. "I work out by lifting weights three times a week."

1. "I can usually go 8 to 10 hours without needing to empty my bladder."

63. The client with first-time bacterial cystitis is being treated with an antibiotic to be taken for 7 days. The nurse should instruct the client to: 1. limit fluids to 1,000 mL/day. 2. notify the healthcare provider (HCP) when the urine is clear. 3. take the entire prescription as ordered. 4. use condoms if having sex.

3. take the entire prescription as ordered.

61. The client, who is a newlywed, is afraid to discuss her diagnosis of cystitis with her husband. Which approach would be best? 1. Arrange a meeting with the client, her husband, the healthcare provider (HCP), and the nurse. 2. Insist that the client talk with her husband because good communication is necessary for a successful marriage. 3. Talk first with the husband alone and then with both of them together to share the husband's reactions. 4. Spend time with the client addressing her concerns and then, if the client requests, stay with her while she talks with her husband.

4. Spend time with the client addressing her concerns and then, if the client requests, stay with her while she talks with her husband.

60. The client asks the nurse, "How did I get this urinary tract infection?" The nurse should explain that in most instances, cystitis is caused by: 1. congenital strictures in the urethra. 2. an infection elsewhere in the body. 3. urinary stasis in the urinary bladder. 4. an ascending infection from the urethra.

4. an ascending infection from the urethra.

69. The nurse explains to the client the importance of drinking large quantities of fluid to prevent cystitis. The nurse should tell the client to drink: 1. twice as much fluid as usual. 2. at least 1,000 mL more than usual. 3. as much water or juice, as possible. 4. at least 3,000 mL of fluids daily.

4. at least 3,000 mL of fluids daily.

57. A client has nephropathy. The healthcare provider (HCP) prescribes a 24-hour urine collection for creatinine clearance. Which action is necessary to ensure proper collection of the specimen? 1. Collect the urine in a preservative-free container and keep it on ice. 2. Inform the client to discard the last voided specimen at the conclusion of urine collection. 3. Obtain a self-report of the client's weight before beginning the collection of urine. 4. Request a prescription for insertion of an indwelling urinary catheter.

1. Collect the urine in a preservative-free container and keep it on ice.

58. A client who weighs 207 lb (94.1 kg) is to receive 1.5 mg/kg of gentamicin sulfate IV three times each day. How many milligrams of medication should the nurse administer for each dose? Round to the nearest whole number.

141 mg

66. Nitrofurantoin, 75 mg four times per day, has been prescribed for a client with a lower urinary tract infection. The medication comes in an oral suspension of 25 mg/5 mL. How many milliliters should the nurse administer for each dose? Record your answer using a whole number.

15 ml

62. The nurse teaches a female client who has cystitis methods to relieve her discomfort until the antibiotic takes effect. Which response by the client would indicate that she understands the nurse's instructions? 1. "I will place ice packs on my perineum." 2. "I will take hot tub baths." 3. "I will drink a cup of warm tea every hour." 4. "I will void every 5 to 6 hours."

2. "I will take hot tub baths."

65. A client has been prescribed nitrofurantoin for treatment of a lower urinary tract infection. Which instructions should the nurse include when teaching the client about this medication? Select all that apply. 1. "Take the medication on an empty stomach." 2. "Your urine may become brown in color." 3. "Increase your fluid intake." 4. "Take the medication until your symptoms subside." 5. "Take the medication with an antacid to decrease gastrointestinal distress."

2. "Your urine may become brown in color." 3. "Increase your fluid intake."

55. What should the nurse do to prevent catheter-associated urinary tract infection (CAUTI)? Select all that apply. 1. Change the catheter daily. 2. Provide perineal care several times a day. 3. Monitor the temperature as an indicator of the infection. 4. Encourage the client to drink 3,000 mL fluids daily. 5. Recommend the healthcare provider (HCP) prescribe antibiotics.

2. Provide perineal care several times a day. 3. Monitor the temperature as an indicator of the infection. 4. Encourage the client to drink 3,000 mL fluids daily.

64. When teaching the client with a urinary tract infection about taking a prescribed antibiotic for 7 days, the nurse should tell the client to report which symptoms to the healthcare provider (HCP)? Select all that apply. 1. cloudy urine for the first few days 2. blood in the urine 3. rash ( 4. mild nausea 5. fever above 100°F (37.8°C) 6. urinating every 3 to 4 hours

2. blood in the urine 3. rash 5. fever above 100°F (37.8°C)

59. A 24-year-old female client comes to an ambulatory care clinic in moderate distress with a probable diagnosis of acute cystitis. When obtaining the client's history, the nurse should ask the client if she has had: 1. fever and chills. 2. frequency and burning on urination. 3. flank pain and nausea. 4. hematuria.

2. frequency and burning on urination.

54. A client with a urinary tract infection is to take nitrofurantoin four times each day. The client asks the nurse, "What should I do if I forget a dose?" What should the nurse tell the client? • 1. "You can wait and take the next dose when it is due." • 2. "Double the amount prescribed with your next dose." • 3. "Take the prescribed dose as soon as you remember it, and if it is very close to the time for the next dose, delay that next dose." • 4. "54. A client with a urinary tract infection is to take nitrofurantoin four times each day. The client asks the nurse, "What should I do if I forget a dose?" What should the nurse tell the client? 1. "You can wait and take the next dose when it is due." 2. "Double the amount prescribed with your next dose." 3. "Take the prescribed dose as soon as you remember it, and if it is very close to the time for the next dose, delay that next dose." 4. Take a lot of water with a double amount of your prescribed dose."

4. Take a lot of water with a double amount of your prescribed dose."

53. The nurse is teaching an older adult with a urinary tract infection about the importance of increasing fluids in the diet. What puts this client at a risk for not obtaining sufficient fluids? • 1. diminished liver function 53. The nurse is teaching an older adult with a urinary tract infection about the importance of increasing fluids in the diet. What puts this client at a risk for not obtaining sufficient fluids? 1. diminished liver function 2. increased production of antidiuretic hormone 3. decreased production of aldosterone 4. decreased ability to detect thirst

4. decreased ability to detect thirst