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A nurse is educating a client undergoing treatment for genitourinary tract bacterial infections on an outpatient basis. What instructions should the nurse offer the client as part of the client teaching plan?
- A. Notify the primary health care provider if abdominal pain occurs.
- B. Discontinue the therapy if symptoms vanish.
- C. Decrease fluid intake if symptoms subside.
- D. Increase fluid intake to at least 2000 mL/day.
Correct Answer: D
Rationale: The nurse should instruct the client to increase the fluid intake to at least 2000 mL/day to help remove bacteria from the genitourinary tract when caring for a client with a genitourinary tract bacterial infection. The nurse should stress the importance of continued therapy even if symptoms vanish or the client feels better after a few doses. The nurse should encourage continued increased fluid intake even if the symptoms subside. Abdominal pain is not commonly associated with genitourinary tract bacterial infections, so this instruction would not be necessary.
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A client asks the nurse about drinking cranberry juice to prevent UTIs. The nurse informs the client that it is safe to use, suggesting an intake of which amount daily?
- A. 1 to 2 ounces
- B. 4 to 8 ounces
- C. 8 to 12 ounces
- D. 12 to 16 ounces
Correct Answer: B
Rationale: Cranberry juice is safe for use as a food and for urinary tract health. The recommended dosage is 4 to 8 ounces of juice per day.
A nurse caring for a client taking which of the following drugs may notice increased adverse reactions if the client was prescribed nitrofurantoin (Macrodantin) resulting from an increased absorption of nitrofurantoin (Macrodantin)? Select all that apply.
- A. Benztropine (Cogentin)
- B. Simvastatin (Zocor)
- C. Tiotropium (Spiriva)
- D. Albuterol (Proventil)
- E. Dicyclomine (Bentyl)
Correct Answer: A,C,E
Rationale: Anticholinergic drugs, like benztropine (Cogentin), tiotropium (Spiriva), and dicyclomine (Bentyl), can cause delayed gastric emptying, leading to increased absorption of nitrofurantoin (Macrodantin), which may result in increased adverse reactions.
A nurse is educating a client receiving sulfamethoxazole/trimethoprim (Septra) about common dermatologic adverse reactions. Which of the following would the nurse include in the teaching? Select all that apply.
- A. Rash
- B. Stevens-Johnson syndrome
- C. Photosensitivity
- D. Exfoliative dermatitis
- E. Pruritus
Correct Answer: A,C,E
Rationale: Common dermatologic adverse reactions seen with the use of sulfamethoxazole/trimethoprim (Septra) include rash, photosensitivity, pruritus, and urticaria.
A nurse is caring for a client receiving methenamine as outpatient treatment for chronic bacterial UTIs. Which instruction should the nurse include in the teaching plan for the client about the administration of the drug?
- A. Avoid prolonged exposure to sunlight.
- B. Increase the intake of milk products.
- C. Avoid an excessive intake of citrus fruits.
- D. Take the drug preferably with food.
Correct Answer: C
Rationale: The nurse should instruct the client taking the anti-infective methenamine to avoid an excessive intake of citrus fruits. The nurse need not instruct the client taking methenamine to avoid prolonged exposure to sunlight, to increase the intake of milk products, or to take the drug preferably with food. Instead, the nurse should instruct the client to avoid milk and milk products when the client is taking methenamine.
A nurse monitoring a hospitalized client with a UTI notifies the physician if which of the following occur with drug therapy? Select all that apply.
- A. Fever
- B. Poor fluid intake
- C. Decreased urinary output
- D. Appearance of concentrated urine
- E. Worsening of UTI symptoms
Correct Answer: A,B,C,D,E
Rationale: A nurse monitoring a hospitalized client with a UTI notifies the physician if any of the following occur: fever, poor fluid intake, decreased urinary output, appearance of concentrated urine, or worsening of UTI symptoms.