Pharm Ch 52 Prepu
A nurse is planning care for a client who is taking tolterodine. Which is an appropriate nursing diagnosis that is an indication for using this drug?
Altered Urinary Elimination related to overactive bladder
A nurse is required to care for a patient receiving the anti-infective methenamine for the treatment of chronic bacterial UTIs on an outpatient basis. What instruction should the nurse provide the patient related to the administration of the methenamine drug in the patient teaching plan?
Avoid an excessive intake of citrus fruits.
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 medications slow or retard the multiplication of bacteria.
The nurse cautions the client taking methenamine (Urex) for chronic, bacterial urinary tract infections to avoid using antacids that contain sodium bicarbonate. Why?
Because the effectiveness of methenamine is decreased
When explaining the action of terazosin to a patient, which would the nurse include?
Blocks alpha-1 adrenergic receptors
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.
Fosfomycin (Monurol) is an anti-infective that when administered orally is found in high concentrations in the urine, which makes it ideal for treating which infections? (Select all that apply.)
Cystitis Pyelonephritis Prostatitis
A patient is receiving oxybutyin for treatment of overactive bladder. The patient also takes haloperidol (Haldol) drug as an antipsychotic agent. What effect of interaction of these two drugs should the nurse observe in the patient?
Decreased effect of the antipsychotic drug
A patient with benign prostatic hypertrophy is receiving treatment with finasteride (Proscar). What is an appropriate patient instruction?
Do not let your wife handle the pills.
A nurse is seeing a client who has been prescribed phenazopyridine in combination with an antibacterial medication to treat a urinary tract infection. What is important for the nurse to tell the client about this treatment?
Do not take this medication for more than two days
The nurse would caution the client to avoid driving if which adverse reaction of urinary tract anti-infectives occur?
Drowsiness
A nurse is caring for a patient receiving fosfomycin for the treatment of an acute bacterial UTI. Which intervention should the nurse perform when administering the drug to this patient?
Ensure that the drug is administered immediately after mixing with water.
Which would lead a nurse to suspect that a client most likely has pyelonephritis?
Flank pain
The nurse caring for a client who takes warfarin (Coumadin) for recurrent deep vein thrombosis (DVT) and recently started taking sulfamethoxazole (Bactrim) for a urinary tract infection notes petechiae in the client's eyes and on the chest. What nursing action is appropriate?
Hold the next Bactrim dose.
When explaining the action of dutasteride as treatment for BPH, the nurse would explain that the drug acts to achieve:
Inhibition of testosterone conversion
The nurse is aware that fosfomycin may be prescribed by the health care provider because of what feature that is unique among the urinary tract anti-infectives?
It is given one time only to treat urinary tract infections.
A female client is diagnosed with hepatitis C as well as a urinary tract infection. The organism is sensitive to tetracycline. Why is the health care provider reluctant to order tetracycline in a client with hepatic impairment?
It slows drug elimination.
When describing a urinary tract anti-infective, what would a nurse identify as one that acidifies the urine?
Methenamine
A nurse should not administer solifenacin (Vesicare) to a patient with which medical condition?
Myasthenia gravis
Which nursing observation is an appropriate outcome to indicate effective anti-infective therapy for a urinary tract infection?
Negative urinalysis
A 3-year-old has a history of recurrent urinary tract infections (UTI). Which practice implemented by the parents for the child indicates an understanding of preventive measures regarding these infections?
No use of bubble bath liquids or salts
The nurse is caring for an older adult. What is the primary nursing intervention to increase fluid intake in older adults?
Offer a variety of fluids to the client every hour.
A health care provider prescribes a urinary antispasmodic as a transdermal patch. The nurse identifies this as drug as:
Oxybutynin
The nurse is caring for a client with a nursing diagnosis of "Impaired urinary elimination related to discomfort of urinary tract infection." Which medication will provide comfort to this client?
Phenazopyridine
Which drug would the nurse identify as turning a client's urine reddish brown?
Phenazopyridine
What would be most important to monitor in a client receiving an agent for BPH?
Prostate-specific antigen level
For which disorder would treatment with an anti-infective be appropriate?
Pyelonephritis
The nurse knows that urinary anti-infectives are chosen to treat bladder infections because of what property?
Rapid excretion rate
A nurse is caring for a client with irritation of the lower genitourinary tract. The client is administered phenazopyridine. Which condition in clients contraindicates the use of the drug?
Renal impairment
A client who takes digoxin for heart failure is also prescribed trospium. The nurse would monitor the client closely for:
Signs of digoxin toxicity
Which is an appropriate intervention for a side effect of a urinary antispasmodic medication?
Suck on ice or hard candy to treat dry mouth.
The nurse is counseling a client who has been prescribed nitrofurantoin for treatment of a urinary tract infection. What should the nurse teach the client specific to timing of this medication?
Take it with food or milk.
When considering the possible gastrointestinal side effects, what instruction should the nurse provide a client being prescribed a urinary tract antispasmodic?
Take medication with food
A nurse is caring for a client receiving nitrofurantoin drug therapy. What instruction should the nurse include in the teaching plan for the client and family? Select all that apply.
Take the drug with food or milk to improve absorption. Continue therapy for at least 1 week. Notify the PHCP in case of fever, chills, or cough.
A client seeking care for the treatment of a urinary tract infection (UTI) was prescribed nitrofurantoin. What change in the client's health status would prompt the use of an alternative medication?
The client's UTI progresses to urosepsis.
A client calls the clinic and tells the nurse about some urinary difficulties she is experiencing. What signs/symptoms would indicate to the nurse that this client may be experiencing overactive bladder syndrome? Select all that apply.
Urge incontinence Urinary urgency Frequency of urination
A client has a history of recurrent urinary tract infection (UTI). The nurse should discuss which of the client's personal practices as possibly contributing to these infections?
Using antacids to manager frequent indigestion
The nurse should expect to see what when tolterodine (Detrol) is administered concomitantly with meperidine (Demerol)?
decreased lacrimation
A client who is hospitalized develops a UTI and is receiving anti-infective therapy. The nurse would expect to monitor the client's intake and output at which frequency?
every 8 hours
A client is prescribed phenazopyridine. In addition to informing the client that the drug can cause a change in urine color, the nurse would tell the client that which may also change color?
fluid lubricating the eyes
The nurse should expect to see which effect when warfarin is administered concomitantly to a client who is prescribed sulfamethoxazole?
increased anticoagulant effect
The nurse is seeing a pregnant client who has a confirmed urinary tract infection that requires treatment. Which anti-infective medication should the nurse anticipate will be prescribed for this client?
nitrofurantoin
The nurse is administering a urinary tract drug that exerts a topical analgesic effect on the lining of the urinary tract. Which drug would the nurse be most likely to administer?
phenazopyridine
A client cannot recall the name of the medication prescribed to help manage the pain associated with a urinary tract infection (UTI). What medication was likely prescribed?
phenazopyridine hydrochloride
A male client 69 years of age comes to the clinic reporting various urinary symptoms, including reduced flow and blood in the urine. The nurse knows that the health care provider must rule out what condition in this client before treatment is started for benign prostatic hypertrophy?
prostate cancer
A client with a urinary tract infection (UTI) has a new prescription for nitrofurantoin. The nurse would question this order if the client has a history of:
renal dysfunction.
The nurse is reviewing the medical record of a client who is to receive pentosan. What would alert the nurse to the need for close monitoring?
splenic dysfunction
A client receiving anti-infective therapy asks the nurse about the best fluids to drink to help eliminate the infection. Which would the nurse suggest as most appropriate? Select all that apply.
water cranberry juice prune juice
A client has been taking a urinary tract anti-infective for two days for treatment of a severe urinary tract infection. Today, the client calls the clinic reporting continued burning on urination. What is the nurse's best response?
"Burning on urination is a common side effect of these drugs. This may continue the entire time that you are on the medication."
What should a nurse teach a client with a new prescription for methenamine?
"Don't take this drug if you are allergic to food dye."
A client with cystitis is receiving fosfomycin. Which statement indicates that the client has understood the instructions?
"I mix one packet in water to take the drug."
The nurse is educating a client newly diagnosed with a urinary tract infection about the prescribed phenazopyridine hydrochloride. Which statement made by the client establishes the need for further clarification?
"I should report reddish-orange urine immediately to the prescriber."
The nurse is evaluating the effectiveness of flavoxate (Urispas). Which report by the patient indicates the drug has been effective?
"I slept uninterrupted through the night."
A client who is taking phenazopyridine for urinary analgesia along with nitrofurantoin calls the clinic to report that her sclera appears yellowish. What is the nurse's best response to this client?
"This is an expected side effect of this medication and is not alarming."
A 56-year-old woman will soon begin treatment of her overactive bladder with tolterodine (Detrol). What patient teaching should the nurse provide to this woman?
"You might find that you get a dry mouth or a headache from this drug, but this does not mean it has to be discontinued."
The health care provider has ordered phenazopyridine to a client with a urinary tract infection as a urinary analgesic. The client has also been prescribed an anti-infective. The client may use the phenazopyridine for what duration?
2 days