WK 13 Test Drugs

A client asks the nurse about drinking cranberry juice to prevent UTIs. The nurse informs the client that it is safe to use, suggesting an intake of which amount daily?

4 to 8 oz ✓

A client is started on trimethoprim and sulfamethoxazole for a urinary tract infection. The client reports nausea, anorexia, and abdominal pain. What intervention does the nurse discuss with the client?

Consume the medication with food. ✓

The nurse is developing a plan of care for a client with a UTI who is prescribed an anti- infective drug. Which instruction should the nurse prioritize if the nursing diagnosis of Impaired Urinary Elimination is the most appropriate for this client?

Encouraging a fluid intake of at least 2000 mL/day ✓

An older adult client, who is hospitalized, develops a UTI and is prescribed appropriate anti-infective therapy. Which action should the nurse prioritize on the ongoing assessment for this client?

Monitor the client's vital signs every 4 hours. ✓

A nurse has administered nitrofurantoin to a client who is now reporting dyspnea, chest pain, and is coughing. Which action should the nurse prioritize?

Withhold the drug and contact the primary health care provider. ✓

A client with diabetes, controlled by metformin, was recently prescribed a diuretic. The nurse should question the administration of which drug after noting the elevation of blood glucose levels? Select all that apply.

hydrochlorothiazide ✓ chlorthalidone ✓ metolazone ✓

The health care provider has prescribed spironolactone for a client. The nurse is prepared to carefully monitor the client's potassium level if the client is also administered which drug?

lisinopril ✓

A nurse is administering methenamine to a client with a UTI. Which drug would the nurse instruct the client to avoid?

sodium bicarbonate ✓

A nurse has administered amoxicillin to a client for a UTI. The nurse will prioritize which assessment finding on the ongoing assessment?

stomatitis ✓

A nurse is preparing a teaching plan for a client with edema who is prescribed a diuretic. Which teaching should the nurse prioritize?

Administer early in the day. ✓

A nurse is preparing to administer nitrofurantoin to a client. The nurse will question this order if the client is currently administered which medication? Select all that apply.

benztropine ✓ tiotropium ✓ dicyclomine ✓

A nurse teaches a client and caregivers about nitrofurantoin which the client will continue to use at home. The nurse determines the session is successful when the client plans to notify the health care provider if which adverse reactions occur? Select all that apply.

fever ✓ dyspnea ✓ chills ✓ chest pain ✓

The nurse is preparing to administer a diuretic to a client. The nurse should question this order if which disorder is noted in the client's history? Select all that apply.

hyponatremia ✓ anuria ✓ hypokalemia ✓

A group of nursing students are comparing the actions of the various diuretic classes. Which drugs should the students choose when examining the ones that work on the glomerulus? Select all that apply.

urea ✓ mannitol ✓

A client with a history of seizures is admitted to the unit with pulmonary edema. After administering furosemide, which assessment should the nurse prioritize after discovering the client is also prescribed phenytoin?

Decreased diuretic effectiveness ✓

A nurse is teaching a client how to properly administer fosfomycin. The nurse determines the session is successful when the client correctly points out they will administer the drug in which manner?

Ingest the drug immediately after mixing with water. ✓

A client with cerebral edema is prescribed mannitol. Which assessment should the nurse prioritize during the ongoing assessment?

Response of pupils to light. ✓

A client is admitted in acute renal failure and prescribed mannitol. The nurse prepares to administer this drug via which route?

intravenously ✓

The nursing instructor is teaching a group of nursing students comparing the different classes of diuretics. The instructor determines the session is successful when the students correctly choose which drugs as affecting carbonic anhydrase? Select all that apply.

methazolamide ✓ acetazolamide ✓

A nurse conducts a daily urine pH as part of the ongoing assessment of a client with a UTI. The nurse will utilize this test to establish the effectiveness of which drugs? Select all that apply.

methenamine ✓ nitrofurantoin ✓

The nurse has finished a teaching session with a client who is prescribed a diuretic to be taken twice a day. The nurse determines the session is successful when the client correctly chooses which times to take the drug?

At breakfast and midafternoon ✓

A nurse is preparing a teaching session for a client prescribed methenamine for chronic bacterial UTIs. The nurse determines the session is successful when the client correctly points out which fact?

Avoid an excessive intake of citrus fruits. ✓

A client with congestive heart failure and currently administered digoxin is now prescribed indapamide for edema. Which intervention should the nurse prioritize?

Frequently monitor the client's pulse rate and rhythm. ✓

The nurse is teaching a client about the prescribed metolazone and providing suggestions for foods to eat which will help increase potassium consumption. The nurse determines the teaching is successful after the client correctly chooses which foods? Select all that apply.

asparagus ✓ bananas ✓ peanuts ✓ salmon ✓

A nurse is administering amiloride to several clients. The nurse should prioritize monitoring the serum potassium levels for clients with which noted disorder? Select all that apply.

diabetes ✓ renal disease ✓

After teaching a client about the prescribed anti-infective therapy for their UTI, the nurse determines that the teaching was successful when the client states which statement? Select all that apply.

"I should avoid drinking any beverages that contain alcohol." ✓ "I can take the medication with food or meals." ✓ "I'll call my primary health care provider if I don't feel better in about 3 days." ✓

A client who is prescribed phenazopyridine is distressed seeing reddish-orange colored urine. Which response by the nurse would be most appropriate?

"This discoloration is a normal result of the medication." ✓

The nurse is preparing to teach a client with renal insufficiency about the recently prescribed bumetanide for hypertension. Which instruction should the nurse prioritize for this client?

Avoid over-the-counter drugs for cold symptoms. ✓

A nurse is caring for a hospitalized client with a urinary tract infection (UTI). The nurse is preparing to administer nitrofurantoin, which is a bacteriostatic antibiotic. Which statement best differentiates bacteriostatic and bactericidal medications?

Bacteriostatic slows or retards the multiplication of bacteria. ✓

The nurse is preparing to administer nitrofurantoin to a client with a UTI. The nurse will carefully monitor the client after administering the drug if which disorder is documented in the client's medical record? Select all that apply.

Glucose-6-phosphate dehydrogenase (G6PD) deficiency ✓ cerebral arteriosclerosis ✓ diabetes ✓

A nurse is conducting an in-service presentation for a group of nurses about UTIs and hospitalized clients. When discussing preventive measures, the nurse would prioritize which action as the primary nursing intervention for prevention of UTIs?

Hand hygiene ✓

A nurse is preparing a teaching session for a client prescribed an anti-bacterial for a UTI. Which instruction should the nurse point out in the teaching session?

Increase fluid intake to at least 2000 mL/day. ✓

A primary health care provider has prescribed a loop diuretic for hypertension in a client with diabetes mellitus. Which assessment should the nurse prioritize?

Increased blood glucose levels ✓

A nurse is reviewing the laboratory test results of a client who is receiving diuretic therapy. The nurse determines that the client is at risk for electrolyte imbalance based on which results? Select all that apply.

Potassium 2.9 mEq/L ✓ Sodium 124 mEq/L ✓

A client who is receiving diuretic therapy comes to the clinic for a follow-up visit. The client states that their mouth is often dry and that they are "urinating like there is no tomorrow." Assessment reveals dry mucous membranes and decreased skin turgor. Which nursing diagnosis would the nurse most likely prioritize?

Risk for Deficient Fluid Volume ✓

A client diagnosed with a urinary tract infection (UTI) asks the nurse about how to prevent another infection. Which statement by the client indicates effective teaching by the nurse?

Wipe from front to back after going to the bathroom. ✓

A nurse administers chlorothiazide to a client with renal compromise. Which action should the nurse prioritize after noting the BUN level is rising?

Withhold the next dose of the drug. ✓

A nurse is preparing to administer phenazopyridine to a client. To help promote maximum effectiveness, the nurse should prioritize which time to administer this drug?

after meal ✓

A nurse is developing a teaching plan for a client diagnosed with a UTI and prescribed nitrofurantoin. The nurse would prioritize which potential adverse reactions to caution the client about? Select all that apply.

anorexia ✓ nausea ✓ diarrhea ✓

The nursing instructor is teaching a session explaining the various drugs used to treat urinary tract infections. The instructor determines the session is successful when the students correctly choose which organ as most often affected by infections?

bladder ✓

A nursing instructor is teaching a class on the actions of the different classes of diuretics. Which drugs will the instructor point out as exerting action on the loop of Henle and distal and proximal tubules? Select all that apply.

bumetanide ✓ furosemide ✓

A nurse is preparing to administer a diuretic to a client. The nurse should question administering which drug after noting an allergy to sulfamethoxazole/trimethoprim? Select all that apply.

chlorothiazide ✓ furosemide ✓ chlorthalidone ✓ metolazone ✓

A nurse is monitoring a hospitalized client with a UTI. The nurse will notify the primary health care provider if which signs or symptoms are apparent on the ongoing assessment? Select all that apply.

decreased urinary output ✓ fever ✓ appearance of concentrated urine ✓ poor fluid intake ✓

The nurse has administered torsemide to a client. Which findings on the ongoing assessment should the nurse prioritize? Select all that apply.

depression ✓ anorexia ✓ drowsiness ✓

The nurse is preparing to administer amiloride to a client. The nurse will exercise caution if the client is diagnosed with which disorder? Select all that apply.

diabetes ✓ hepatic disease ✓ gout ✓

A nurse has been administering nitrofurantoin to a client with a UTI. The nurse should prioritize which factors when conducting the ongoing assessment? Select all that apply.

frequency ✓ burning during urination ✓ urgency ✓ pressure ✓

The nursing instructor is explaining the various drug therapies used to treat UTIs. The instructor determines the session is successful when the students correctly point out which body system is most often adversely affected by these drugs?

gastrointestinal ✓

A nurse is preparing to administer spironolactone to a client. The nurse would question this order if which disorder is noted in the client's history?

hyperkalemia ✓

The nurse has administered acetazolamide to a client. The nurse should question the client's serum sodium level after noting which findings on the ongoing assessment? Select all that apply.

hypotension ✓ decreased skin turgor ✓

A nurse notes on assessment of a client receiving furosemide a decrease in urinary output. Which drugs should the nurse suspect is affecting the diuretic? Select all that apply.

naproxen ✓ ibuprofen ✓ phenytoin ✓

A client with a UTI is experiencing dysuria. The nurse would expect which drug to be prescribed?

phenazopyridine ✓

A prescriber has diagnosed the client with a urinary tract infection. Which medications does the nurse anticipate the prescriber to prescribe? Select all that apply.

phenazopyridine ✓ pentosan ✓ trimethoprim and sulfamethoxazole ✓

A client has been receiving acetazolamide as prescribed. Which substance will the nurse prioritize for monitoring on routine laboratory work? Select all that apply.

potassium ✓ sodium ✓ bicarbonate ✓

A nurse is educating a client receiving sulfamethoxazole/trimethoprim about common dermatologic adverse reactions. The nurse determines the session is successful when the client correctly chooses which reactions to watch for? Select all that apply.

pruritus ✓ rash ✓ photosensitivity ✓

A nurse caring for a client taking warfarin develops a UTI. The nurse should monitor the client for increased risk of bleeding if which anti-infective is prescribed?

sulfamethoxazole ✓

A nurse is administering urea to a client with increased intraocular pressure. Which ongoing assessment should the nurse prioritize?

syncope ✓

A health care provider prescribes diuretic therapy to a client with nephrotic syndrome. The nurse suspects that the client is hyponatremic based on which assessment finding?

tachycardia ✓

A client has been receiving a diuretic as prescribed. Which findings on the ongoing assessment should the nurse prioritize? Select all that apply.

tachycardia ✓ dry mouth ✓ muscle cramps ✓

A nurse is preparing to administer methenamine to a client for UTI. The nurse will question this order if the client is noted to be allergic to which substance?

tartrazine ✓

The nurse is preparing to administer bumetanide to the client. The nurse should question this order after noting which drugs are currently being administered? Select all that apply.

warfarin ✓ digoxin ✓ gentamicin ✓ lithium ✓

The nurse is preparing to administer furosemide to a client. Which factors should the nurse prioritize on the preadministration assessment? Select all that apply.

weight ✓ temperature ✓ pulse ✓ respiratory rate ✓