Ch 20

The nurse is caring for a client with ulcerative colitis who is taking sulfasalazine. What instruction will the nurse give this client? "Expect burning during urination." "Expect your urine to turn yellow-orange." "Expect to be constipated." "Expect to have insomnia."

"Expect your urine to turn yellow-orange."

A client has been prescribed 4 gm of sulfamethoxazole-trimethoprim tablets per day. The available drug is in the form of 500 mg. To meet the recommended dose, the nurse will administer _______ tablets each day. 4 6 8 2

8

A client, diagnosed with a urinary tract infection, indicates the use of an herbal product to help prevent and relieve the symptoms. Which herb has the client most likely been using? Ginger Feverfew Saw palmetto Cranberry

Cranberry

A client who is being discharged has been instructed to continue with sulfonamide therapy for a week. Which point should the nurse include in the teaching plan to educate the client about the therapy? Discontinue dosage if symptoms of infection disappear. Take the drug a few minutes before a meal. Take any off-the-shelf medication if fever occurs. Ensure that all follow-up appointments are met.

Ensure that all follow-up appointments are met.

A nurse is caring for a client with crystalluria. When caring for the client, which interventions would the nurse include in the plan of care? Ensure care while moving client to avoid bruising. Change the client's diet to a soft diet or a liquid diet. Instruct the client to increase fluid intake to 2000 mL. Instruct client to drink cranberry juice regularly.

Instruct the client to increase fluid intake to 2000 mL.

Robert Shue, age 62, is an athletic, tall man. He suffers from dysuria and frequency. He has been diagnosed with a urinary tract infection. He has been prescribed an antibiotic and urinary analgesic. Today he contacts the office reporting that his urine color has changed to orange. What drug was most likely prescribed to him? Cinoxacin Methenamine Fosfomycin Phenazopyridine

Phenazopyridine

A client is prescribed demeclocycline. The nurse would teach the client to be alert for which signs or symptoms? Photosensitivity Abdominal pain Cramping Blood dyscrasias

Photosensitivity

A client who takes digoxin for heart failure is also prescribed trospium. The nurse would monitor the client closely for: Increased central nervous system effects Signs of digoxin toxicity Excess anticholinergic effects Changes in urine color

Signs of digoxin toxicity

A client has been prescribed oral tetracycline for the treatment of acne. Which instruction must the nurse include in the client teaching plan? Take the drug on an empty stomach. Take along with a meal. Take along with milk or fruit juice. Take immediately after meals.

Take the drug on an empty stomach.

The nurse is providing discharge teaching to a client who is being sent home on oral tetracycline. What instructions should the nurse include? Take the medication only once a day. Hold the drug if pulse is below 60 beats per minute (bpm). Take the drug on an empty stomach. Take the medication with two ounces of water.

Take the drug on an empty stomach.

The health care provider considers prescribing an oral tetracycline for a client suspected of having a urinary tract infection. What action needs to be completed before the medication can be prescribed? The client should be assessed for penicillin allergy to rule out cross-allergenicity. The health care provider should order culture and susceptibility studies. The client should be warned of the risk for fever. The client should be taught how to store the medication appropriately.

The health care provider should order culture and susceptibility studies.

The client who has been on long-term sulfonamide therapy begins to demonstrate symptoms associated with side affects of the therapy. The nurse knows that these symptoms are related to which complication associated with sulfonamide therapy? Hypokalemia Hypotension Thrombocytopenia Hyperglycemia

Thrombocytopenia

The primary health care provider has prescribed mafenide for a client with second-degree burns. The nurse would be alert for which effect as the most frequent adverse reaction associated with the topical application of mafenide on the affected area? burning sensation during application skin turning yellow Stevens-Johnson syndrome orange coloration of urine

burning sensation during application

The nurse is reviewing recent laboratory values for an older client prior to administration of tetracycline. Which finding would lead the nurse to hold the dose? creatinine of 2.8 mg/dL (247.52 µmol/L) (high) potassium of 3.4 mEq/L (3.40 mmol/L) (low) hemoglobin of 10.5 g/dL (105.00 g/L) (low) leukocyte count of 11.6/mm3 (high)

creatinine of 2.8 mg/dL (247.52 µmol/L) (high)

A nurse is caring for a client who is taking a urinary anti-infectives. The nurse would need to assess this client for: discolored urine. jaundice. signs and symptoms of continuing UTI. flank pain.

signs and symptoms of continuing UTI.

A nurse is speaking to a 62-year-old female client who has been started on sulfisoxazole, a sulfonamide antibiotic. The nurse should teach this client to contact the health care provider if the client experiences what adverse effect associated with the drug? polydipsia tachycardia skin rash or itching dizziness

skin rash or itching