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?

Accepted Answer

The acid pH of 4.8 is optimal. Treatment with vitamin C is the best way to ensure acid-ash urine.

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:

Accepted Answer

Vitamin C produces acidic urine, which enhances the function of this medication.

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:

Accepted Answer

Symptoms described are indicative of 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:

Accepted Answer

Control of an overactive bladder is the function of this medication.

Question 5

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

Accepted Answer

The medication will increase bladder tone by increasing tone of the detrusor urinal muscle, which produces a contraction strong enough to stimulate urination

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.

Accepted Answer

Brownish urine is a side effect of this medication.

Question 7

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

Accepted Answer

This medication is taken with meals to enhance absorption and reduce gastrointestinal upset.

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.

Accepted Answer

Treatment with nitrofurantoin should result in the client being free of signs and symptoms of UTI within 10 days.

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?

Accepted Answer

Insomnia is an expected side effect of treatment with Floxin.

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.

Accepted Answer

The combination of nitrofurantoin and probenecid will result in a decreased effect of both drugs.

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?

Accepted Answer

Increasing fluids decreases the amount of crystalluria.

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:

Accepted Answer

The combination of methenamine and a sulfonamide will result in an increased risk of crystalluria.

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.

Accepted Answer

The combination of methenamine and sodium bicarbonate will result in an inhibited action of the methenamine.

Question 14

Which client would be highest risk to develop acute pyelonephritis?

Accepted Answer

Acute pyelonephritis, an upper UTI, is commonly seen in women of childbearing age, older women, and young girls.

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?

Accepted Answer

The drug can produce gastrointestinal disturbances in the client receiving treatment.

Quiz 34: Drugs for Urinary Tract Disorders