Deck 48: Urinary Disorders

Question 1

The nurse is preparing to administer bethanechol chloride (Urecholine)to a patient.The nurse understands that this drug acts to

A) block parasympathetic nerve impulses.
B) increase the tone of the urinary detrusor muscle.
C) relax smooth muscles in the urinary tract.
D) relieve urinary pain and burning.

Answer 1

increase the tone of the urinary detrusor muscle.

Question 2

A patient who has pain with urination associated with cystitis will be discharged home with a prescription for phenazopyridine (Pyridium).What instruction will the nurse include when teaching the patient about this drug?

A) "Do not take this drug concurrently with an antibiotic."
B) "Report reddish-brown urine to the provider immediately."
C) "This drug has antiseptic and analgesic properties."
D) "The drug provides symptomatic relief of pain."

Answer 2

"The drug provides symptomatic relief of pain."

Question 3

A male patient reports urinary urgency and pain with burning on urination.The nurse understands that this patient will be treated for which condition?

A) Cystitis
B) Prostatitis
C) Pyelonephritis
D) Urethritis

Answer 3

Prostatitis

Question 4

The nurse is caring for a hospitalized patient who has symptoms characteristic of pyelonephritis.Before administering the first dose of the intravenous antibiotic,the nurse will ensure that which action is performed?

A) An antipyretic is administered.
B) A dose of oral antibiotic is given.
C) A urinary analgesic is given.
D) A urine culture is obtained.

Question 5

The nurse assumes care for a patient who is experiencing urinary tract spasms and is ordered to receive flavoxate HCl (Urispas).When reviewing this patient's history,which condition would cause the nurse to notify the provider?

A) Chronic obstructive pulmonary disorder
B) Diabetes
C) Glaucoma
D) Hypotension

Question 6

The nurse is caring for a patient who is diagnosed with a urinary tract infection.The patient reports always having difficulty remembering to take medications.Which drug will the nurse expect the provider to select when treating this patient?

A) Fosfomycin tromethamine (Monurol)
B) Ciprofloxacin (Cipro)
C) Nitrofurantoin (Macrodantin)
D) Trimethoprim-sulfamethoxazole (Bactrim)

Question 7

The nurse is preparing to administer a phenazopyridine HCl (Pyridium)dose to a patient who has diabetes.The nurse notes that the patient has a positive Clinitest.What will the nurse do next?

A) Encourage the patient to increase oral fluid intake.
B) Hold the dose until the patient's Clinitest is negative.
C) Notify the provider of the patient's hyperglycemia.
D) Request an order for serum blood glucose.

Question 8

Which side effects are common to most urinary antiseptics?

A) Dyspnea and chest pain
B) Nausea and vomiting
C) Peripheral neuritis
D) Visual disturbances

Question 9

The nurse provides teaching for a patient who will begin taking nitrofurantoin (Macrodantin)to treat a urinary tract infection.Which statement by the patient indicates understanding of the teaching?

A) "If I experience gastrointestinal upset, I may take an antacid."
B) "I should notify my provider immediately if my urine is brown."
C) "I should take the drug with food and increase my fluid intake."
D) "Tingling of my fingers is a harmless side effect of this drug."

Question 10

An older woman has urgent urinary incontinence related to an overactive bladder.Which medication does the nurse expect the provider to order?

A) Dimethylsulfoxide (DMSO)
B) Flavoxate (Urispas)
C) Phenazopyridine HCl (Pyridium)
D) Tolterodine tartrate (Detrol)

Question 11

A patient will begin taking a urinary antimuscarinic medication.Which symptom should the patient report immediately?

A) Dry mouth
B) Fatigue
C) Increased heart rate
D) Urinary retention

Question 12

The nurse is teaching a parent about administering nitrofurantoin suspension to a 5-year-old child.Which instruction will the nurse include in the patient teaching?

A) "Give the medication on an empty stomach."
B) "Have the child rinse the mouth after taking the drug."
C) "Limit the child's fluid intake to concentrate the urine."
D) "Report brownish-colored urine to the child's provider."

Question 13

The nurse is preparing to administer methenamine (Hiprex)to a patient who has pyelonephritis.Which action will the nurse perform?

A) Increase fluid intake to 2000 mL/day.
B) Monitor the patient's urine for dark brown color.
C) Order alkaline foods three times daily.
D) Request an order for a sulfonamide antibiotic.

Question 14

A 25-year-old female patient reports urinary frequency with pain on urination,flank pain,fever,and chills.The nurse recognizes these symptoms as characteristic of which condition?

A) Cystitis
B) Dysuria
C) Pyelonephritis
D) Urethritis

Question 15

The nurse is preparing to administer methenamine (Hiprex)to a patient who is diagnosed with a urinary tract infection.The nurse reviews the patient's chart and notes a urinary pH of 6.0.Which action will the nurse take?

A) Administer the drug as ordered.
B) Obtain an order for 8 ounces of cranberry juice three times daily.
C) Request an order for an increased dose.
D) Restrict fluids to concentrate the patient's urine.