Deck 42: Drugs Used to Treat Disorders of the Urinary System

Question 1

A 42-year-old woman is admitted with complaints of dysuria, frequency, and lower back pain.The urinalysis report is positive for red blood cells, and the blood work shows an elevated white blood cell count.Which medication will the nurse anticipate that the health care provider will order?

A)Meperidine (Demerol)
B)Bethanechol chloride (Urecholine)
C)Ciprofloxacin (Cipro)
D)Metronidazole (Flagyl)

Answer 1

Ciprofloxacin (Cipro)

Question 2

A patient has been taking an antimicrobial agent prescribed to treat a UTI for 2 days.She contacts the health care provider's office to report persistence of symptoms.In evaluating the medication effectiveness, which assessment(s) would be important? (Select all that apply.)

A)Complete emptying of the bladder
B)Amount of pain with urination as well as frequency
C)Amount of daily fluid intake and output
D)GI symptom complaints
E)Bleeding with urination
F)Persistence of nocturia

Answer 2

Complete emptying of the bladder
Amount of pain with urination as well as frequency
Amount of daily fluid intake and output
GI symptom complaints
Bleeding with urination

Question 3

The nurse is teaching a patient about the anticholinergic agent prescribed for urinary retention.Which statement by the patient indicates a need for further teaching?

A)"I will chew gum to relieve dry mouth."
B)"I will limit my fluid intake."
C)"I will eat fresh fruits."
D)"I will not drive if I develop blurred vision."

Answer 3

"I will limit my fluid intake."

Question 4

After undergoing prostate surgery, a patient is discharged on the medication phenazopyridine hydrochloride (Pyridium) to assist with urinary catheter discomfort.What information will the nurse include in the discharge teaching?

A)Urine will have a foul smell while taking this medication.
B)Diarrhea and abdominal cramping are expected adverse effects.
C)The sclera of the eye is yellow while on therapy.
D)Urine will appear reddish orange.

Question 5

Which condition will neostigmine be used to treat?

A)OAB
B)UTI
C)Postoperative or postdelivery urinary retention
D)Benign prostatic hypertrophy

Question 6

The nurse is reviewing the urinalysis results of an older adult patient admitted with elevated temperature and incontinence.Which urinalysis properties are indicative of an infection? (Select all that apply.)

A)Straw color
B)Foul odor
C)Trace glucose
D)pH of 8.2
E)Specific gravity of 1.014

Question 7

How often is fosfomycin (Monurol) usually administered when used in the treatment of UTIs?

A)In a one-time dose
B)Once per day
C)Once per week
D)Monthly

Question 8

Fluoxetine, erythromycin, clarithromycin, ketoconazole, itraconazole, miconazole, vinblastine, ritonavir, and nefazodone may inhibit the metabolism of which drugs? (Select all that apply.)

A)Warfarin
B)Tolterodine
C)Phenytoin
D)Darifenacin
E)Heparin
F)Solifenacin

Question 9

Which intervention(s) will help stimulate urination when a patient is experiencing postoperative urinary retention? (Select all that apply.)

A)Reinforcing Kegel exercises
B)Administration of bethanechol chloride (Urecholine)
C)Pouring warm water over the perineum
D)Increasing IV fluids
E)Urinary catheterization

Question 10

Which organism causes most UTIs?

A)Proteus mirabilis
B)Klebsiella pneumoniae
C)Escherichia coli
D)Pseudomonas aeruginosa

Question 11

What may become discolored by phenazopyridine (Pyridium) in addition to the urine?

A)Feces
B)Sclera
C)Sputum
D)Saliva

Question 12

The nurse is caring for a patient taking Pyridium for the diagnosis of UTI.What should the nurse report to the health care provider? (Select all that apply.)

A)Orange colored urine
B)Yellow sclera
C)Flushing of the skin
D)Headache
E)Increased pain and burning

Question 13

The nurse is preparing to administer a single dose packet of fosfomycin to a patient diagnosed with a UTI.When preparing this medication, the nurse will:

A)pour contents into a souffle cup and administer by mouth.
B)mix with 3 mL of normal saline and inject subcutaneously.
C)pour contents into 90 mL of juice, stir, and administer by mouth.
D)mix contents with 120 mL of water and administer by mouth.

Question 14

What is the action of urinary antimicrobial agents?

A)Reduce pain associated with bladder spasms caused by the infection
B)Enhance output enough to flush out the infection from the urinary tract
C)Eliminate urinary retention
D)Have an antiseptic effect on the urine and the urinary tract

Question 15

A patient is complaining of moderate bladder pain and spasms secondary to a UTI.Which drug would assist in relieving symptoms?

A)Tolterodine (Detrol)
B)Nitrofurantoin (Furadantin)
C)Phenazopyridine hydrochloride (Pyridium)
D)Oxybutynin chloride (Ditropan)

Question 16

When obtaining urine for analysis on a patient in the labor and birth unit, the nurse assesses the urine to appear frothy.The nurse interprets this as a sign of possible:

A)gestational diabetes.
B)infection.
C)preeclampsia (toxemia).
D)dehydration.

Question 17

The nurse is assisting with postpartum care for a mother who has given birth to her fourth child.She reports a moderate amount of urinary incontinence since the birth of the third child and is concerned that this problem will worsen.Which instruction(s) may facilitate management of incontinence? (Select all that apply.)

A)Instruction of proper wiping techniques to prevent bacterial infection
B)Education on bladder training and Kegel exercises
C)Information on personal hygiene measures to prevent perianal breakdown
D)Information of incontinence products and appliances
E)Importance of establishing a regular toileting schedule
F)Importance of increasing fluid intake

Question 18

A 14-year-old male is taking tolterodine (Detrol).What is the action of this drug?

A)Restores bladder tone and function
B)Decreases the urge to void
C)Prevents urinary retention
D)Acidifies urine