Deck 34: Drugs for Urinary Tract Disorders

Question 1

Many of the urinary antiseptics work best with a specific urine pH. What are the optimal pH and a method to achieve this pH?

A) pH of 4.8, treatment with vitamin C
B) pH of 6.0, treatment with cranberry juice
C) pH of 6.1, treatment with milk
D) pH of 5.5, treatment with antacids

Answer 1

pH of 4.8, treatment with vitamin C

Question 2

A client with a urinary tract infection is ordered to receive methenamine (Mandelamine). The nurse knows that this medication works best when the urine pH is less than 5.5. The nurse would recommend that the client:

A) maintain a low-residue diet.
B) take daily vitamin C.
C) eat a high-protein diet.
D) drink milk each day.

Answer 2

take daily vitamin C.

Question 3

A client presents to the emergency department with severe flank pain and foul-smelling urine. The urine culture is positive. Because of the symptoms, the nurse anticipates that the client has:

A) acute renal failure.
B) a lower urinary tract infection.
C) pyelonephritis.
D) acute cystitis.

Answer 3

pyelonephritis.

Question 4

An older adult client with stress incontinence is ordered to receive tolterodine tartrate (Detrol). The nurse anticipates that treatment with this medication will result in:

A) decreased urination.
B) decreased urinary discomfort.
C) prevention of urinary tract infection.
D) control of an overactive bladder.

Question 5

A client has decreased bladder function and is ordered bethanechol (Urecholine). The nurse anticipates what expected outcome of the medication?

A) Stimulation of urination stimulate micturition
B) Decreased urinary tract spasms
C) Reduced urinary pain
D) Prevention of bacterial growth

Question 6

The client has been ordered treatment with nitrofurantoin. She complains to the nurse of experiencing brownish, discolored urine. The nurse recognizes that this symptom indicates a(n) _____ the medication.

A) expected side effect of
B) adverse reaction to
C) life-threatening reaction to
D) anaphylactic reaction to

Question 7

The highest priority nursing intervention to enhance the absorption of nitrofurantoin) should be to take the drug:

A) between each meal.
B) 1 hour before meals and at bedtime.
C) with each meal.
D) either 1 hour before or 2 hours after meals.

Question 8

The client is being treated with nitrofurantoin. How can the nurse determine that the drug has produced a positive outcome for the client when the client is free of _____ within 10 days.

A) blood in the urine
B) symptoms of UTI
C) evidence of renal calculi
D) flank pain

Question 9

The client has been ordered treatment with Floxin. She complains to the nurse of insomnia. What does the nurse recognize about this symptom?

A) It is completely unrelated to the new medication.
B) It is indicative of an adverse reaction to the medication.
C) It shows that the client is achieving a toxic level.
D) It is an expected side effect of the medication.

Question 10

The client has been ordered to be treated with nitrofurantoin. He is also being treated with probenecid. The nurse anticipates that the action of the two drugs will result in _____ the medication.

A) a decreased effect of
B) an increased effect of
C) no change in the usual effect of
D) an anaphylactic reaction to

Question 11

A client has a urinary tract infection that is treated with an antibiotic. The medication has a tendency to cause crystalluria. Which nursing intervention may prevent this side effect?

A) Treating with urinary antispasmodics
B) Increasing oral fluid intake
C) Increasing intake of acid-ash fluids/foods
D) Maintaining urine specific gravity above 1.025

Question 12

The client is being treated with methenamine as well as with a sulfonamide. The nurse anticipates that the interaction of these two medications will result in an increased risk of:

A) pyelonephritis.
B) renal failure.
C) crystalluria.
D) renal calculi.

Question 13

The client is being treated with methenamine. He has been self-medicating with sodium bicarbonate as an antacid. The nurse anticipates that the interaction of these two medications will result in a(n) ____ of methenamine.

A) enhanced action
B) inhibited action
C) toxic level
D) anaphylactic reaction

Question 14

Which client would be highest risk to develop acute pyelonephritis?

A) 42-year-old man
B) 2-year-old girl
C) 18-year-old man
D) 34-year-old woman

Question 15

A client with a urinary tract infection is ordered to receive phenazopyridine hydrochloride (Pyridium) as a urinary analgesic. What information will client teaching include?

A) The medication has a high rate of adverse reactions.
B) Discolored urine is evidence of an anaphylactic reaction.
C) Side effects such as nausea, vomiting, and diarrhea must be reported.
D) The medication will prevent future urinary tract infections.