Renal and Urinary Meds

The nurse is reinforcing dietary instructions to a client who is currently prescribed probenecid (Benemid). Which food should the nurse encourage the client to continue to eat?

Liver Shrimp -> Spinach Scallops

A urinary analgesic is prescribed for a client with a urinary tract infection. When should the nurse tell the client that it is best to take the medication?

-> With meals At bedtime One hour before meals In the morning before breakfas

The nurse is caring for a client with kidney failure. The serum phosphate level is reported as 7 mg/dL. Which medication should the nurse plan to administer as prescribed to the client?

Calcium gluconate Calcium chloride Calcitonin (Calcimar) ->Aluminum hydroxide gel

The nurse caring for a client taking tamsulosin (Flomax) determines that which finding indicates the need for follow-up?

Vertigo Nasal congestion Blood pressure of 135/85 mm Hg -> Pulse rate of 120 beats per minute

The nurse is reinforcing instructions to a client with glaucoma receiving acetazolamide (Diamox) daily. Which statement by the client indicates an understanding of the adverse effects related to the medication?

"If I get really irritable, I need to stop the medication." -> "I need to call the doctor if I notice dark urine and stools." "Constipation will probably be a problem with this medication." "If difficulty with swallowing occurs, I need to taper the medication."

In reviewing the admission assessment data and health care provider's prescriptions for a client with peptic ulcer disease, the nurse notes that the client has a history of renal disease. Based on this data, the nurse determines that which antacid should be prescribed for this client?

-> Aluminum hydroxide (Amphojel) Magnesium oxide (Mag-Ox 400) Magnesium and calcium (Camalox) Aluminum and magnesium combination (Maalox)

Propantheline bromide (Pro-Banthine) is prescribed for a client with bladder spasms. Which disorder, noted in the client's record, alerts the nurse to question the prescription for this medication?

-> Glaucoma Myxedema Hypothyroidism Coronary artery disease

The nurse is caring for a client diagnosed with Parkinson's disease who is prescribed benztropine mesylate (Cogentin) daily. The nurse reinforces instructions to both the client and the spouse regarding the side effects of this medication and the need to report which side effect if it occurs?

-> Inability to urinate Decreased appetite Shuffling, unsteady gait Irregular bowel movements

Methenamine (Urex), a urinary antiseptic, is prescribed for the client. The nurse reviews the client's medical record and should contact the health care provider regarding which documented finding to verify the prescription? Refer to chart.

-> Renal insufficiency Chest x-ray: normal Blood glucose, 102 mg/dL Folic acid (vitamin B6) 0.5 mg, orally daily

A client with chronic kidney disease is receiving epoetin alfa (Epogen, Procrit). Which laboratory result should indicate a therapeutic effect of the medication?

->Hematocrit of 32% Platelet count of 400,000 cells/mm3 White blood cell count of 6000 cells/mm3 Blood urea nitrogen (BUN) level of 15 mg/dL

The nurse is reinforcing discharge instructions to a client receiving sulfisoxazole. Which should be included in the plan of care for instructions?

->Maintain a high fluid intake. Discontinue the medication when feeling better. If the urine turns dark brown, call the health care provider immediately. Decrease the dosage when symptoms are improving to prevent an allergic response.

After kidney transplantation, cyclosporine (Sandimmune) is prescribed for a client. Which laboratory result would indicate an adverse effect from the use of this medication?

Decreased creatinine level Decreased hemoglobin level Elevated white blood cell count -> Elevated blood urea nitrogen level

A sulfonamide is prescribed for a client with a urinary tract infection. On review of the client's record, the nurse notes that the client is taking warfarin sodium (Coumadin) daily. Which prescription should the nurse anticipate for this client?

Discontinuation of warfarin sodium (Coumadin) -> A decrease in the warfarin sodium (Coumadin) dosage An increase in the warfarin sodium (Coumadin) dosage A decrease in the usual dose of sulfonamide

The client who has a cold is seen in the emergency department with an inability to void. Because the client has a history of benign prostatic hyperplasia, the nurse determines that the client should be questioned about the use of which medication?

Diuretics Antibiotics Antitussives -> Decongestants

The nurse who is administering bethanechol chloride (Urecholine) is monitoring for acute toxicity associated with the medication. The nurse should check the client for which sign of toxicity?

Dry skin Dry mouth -> Bradycardia Signs of dehydration

Bethanechol chloride (Urecholine) is prescribed for a client with urinary retention. Which disorder should be a contraindication to the administration of this medication?

Gastric atony -> Urinary strictures Neurogenic atony Gastroesophageal reflux

Bethanechol (Urecholine) is prescribed for the client with urinary retention, and an injectable form of bethanechol is available for use as prescribed. The nurse informs the client of the health care provider's prescription, knowing that the medication will be administered by which route?

Intravenously Intramuscularly Intradermally -> Subcutaneously

A client receiving nitrofurantoin (Macrodantin) calls the health care provider's office complaining of side effects related to the medication. Which side effect indicates the need to stop treatment with this medication?

Nausea Diarrhea Anorexia -> Chest pain

Trimethoprim-sulfamethoxazole (TMP-SMZ) is prescribed for a client. The nurse should instruct the client to report which symptom if it developed during the course of this medication therapy?

Nausea Diarrhea Headache -> Sore throat

Oxybutynin chloride (Ditropan XL) is prescribed for a client with neurogenic bladder. Which sign would indicate a possible toxic effect related to this medication?

Pallor Drowsiness Bradycardia -> Restlessness

The nurse is reinforcing discharge instructions to a client receiving sulfadiazine. Which should be included in the list of instructions?

Restrict fluid intake. -> Maintain a high fluid intake. If the urine turns dark brown, call the health care provider (HCP) immediately. Decrease the dosage when symptoms are improving to prevent an allergic response.

The nurse prepares to administer sodium polystyrene sulfonate (Kayexalate) to a client with chronic kidney disease for which laboratory abnormality?

Sodium level of 152 mEq/L ->Potassium level of 7.2 mEq/L Creatinine level of 1.2 mg/dL Ammonia level of 30 mcg/dL

A client has been prescribed allopurinol (Zyloprim). The nurse reinforces which information concerning the administration of the medication?

Take the medication 1 hour before eating. -> Drink at least eight glasses of fluid every day. Put ice on the upper and lower lips if they swell. Use an antihistamine lotion if an itchy rash develops.

A client with a urinary tract infection with dysuria is given a prescription for phenazopyridine hydrochloride (Pyridium) for symptom relief. Which should the nurse reinforce instructing the client about this medication?

Take the medication at bedtime. Take the medication 1 hour before meals. -> Expect the urine to become reddish orange. Notify the health care provider if a headache occurs.

Phenazopyridine hydrochloride (Pyridium) is prescribed for a client for symptomatic relief of pain resulting from a lower urinary tract infection. Which should the nurse reinforce to the client?

Take the medication at bedtime. Take the medication before meals. Discontinue the medication if a headache occurs. -> A reddish-orange discoloration of the urine may occur.

The nurse is preparing a subcutaneous dose of bethanechol chloride (Urecholine) prescribed for a client with urinary retention. Before giving the dose, the nurse checks to see that which medication is available on the emergency cart?

Vitamin K -> Atropine sulfate Protamine sulfate Acetylcysteine

Bethanechol chloride (Urecholine) is prescribed for a client. When should the nurse tell the client to take the medication?

With meals -> Two hours after meals With a snack in the afternoon At bedtime with crackers and cheese