Question 1

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?

Accepted Answer

These are symptoms of pyelonephritis,characterized by fever,dysuria,flank pain,and urinary frequency.

Question 2

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

Accepted Answer

Urinary retention should be reported to the provider.Dry mouth,fatigue,and increased heart rate are side effects,but they do not necessarily warrant reporting immediately.Urinary retention is more serious.

Question 3

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

Accepted Answer

Patients who take methenamine can develop crystalluria and should increase fluid intake to prevent this effect.A reddish-brown color is a harmless side effect.Patients should have acidic urine,not alkaline urine.Methenamine taken with sulfonamides increases the risk of crystalluria.

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?

Accepted Answer

A urinalysis,as well as a culture and sensitivity,is usually performed before initiating drug therapy.An antipyretic is indicated for fever but does not need to be timed before the antibiotic.An oral antibiotic is not indicated.A urinary analgesic is given as needed.

Question 5

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

Accepted Answer

Detrol is used to treat an overactive bladder.Dimethylsulfoxide (DMSO)and flavoxate (Urispas)are used to relax uterine smooth muscle.Phenazopyridine HCl (Pyridium)is used to alleviate the pain and burning sensation during urination that is experienced with chronic cystitis.

Question 6

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?

Accepted Answer

Methenamine produces a bactericidal effect when the urine pH is less than 5.5.Cranberry juice will help to acidify the urine.

Question 7

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?

Accepted Answer

Patients taking nitrofurantoin should take the drug with foods and increase fluid intake.The drug should not be taken with antacids.Brown urine is a harmless side effect.Tingling of extremities can indicate neuropathy.

Question 8

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?

Accepted Answer

Phenazopyridine can alter the glucose urine test (Clinitest),so a blood test should be done to monitor glucose levels.

Question 9

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?

Accepted Answer

Fosfomycin is given as a one-time,single dose.Ciprofloxacin is given daily or twice a day.Nitrofurantoin is given four times daily.Trimethoprim-sulfamethoxazole is given twice daily.

Question 10

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?

Accepted Answer

Phenazopyridine is used to provide symptomatic pain relief.It may be taken with antibiotics.Reddish-brown urine is a harmless side effect.It does not have antiseptic properties.

Question 11

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?

Accepted Answer

Urispas should not be used for patient who has gastrointestinal or urinary tract obstruction or if the patient has glaucoma.

Question 12

Which side effects are common to most urinary antiseptics?

Accepted Answer

Nausea and vomiting are common side effects with most urinary antiseptics.

Question 13

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

Accepted Answer

In a male patient,a lower urinary tract infection is most likely prostatitis with symptoms similar to cystitis.

Question 14

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

Accepted Answer

Bethanechol is used to increase the tone of the detrusor muscle and increase the bladder tone to stimulate urination.It stimulates the parasympathetic nerves.It tones the smooth muscles of the urinary tract.It does not alleviate dysuria.

Question 15

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?

Accepted Answer

Nitrofurantoin suspension can stain the teeth,so patients should rinse the mouth after taking it.Nitrofurantoin should be taken with food,and patients should increase fluids.A reddish-brown color is a harmless side effect.

Quiz 48: Urinary Disorders

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

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

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?

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

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?

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?

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?

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 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?

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?

Which side effects are common to most urinary antiseptics?

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

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

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?