Nokea
A nurse is preparing to administer phenazopyridine to a client. To help promote maximum effectiveness, the nurse would expect to administer this drug at which time?
- A. Before meals
- B. At bedtime
- C. Around the clock
- D. After meals
Correct Answer: D
Rationale: Phenazopyridine is administered after meals to prevent GI upset.
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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 caring for an older adult client who is hospitalized. The client develops a UTI and is receiving prescribed anti-infective therapy. Which of the following should the nurse perform while caring for this client?
- A. Document symptoms of the client's condition.
- B. Monitor the client's vital signs every 4 hours.
- C. Document the client's urine output every hour.
- D. Assess the client for bladder distension.
Correct Answer: B
Rationale: When caring for a client with a UTI undergoing urinary tract anti-infective drug therapy, the nurse should monitor the vital signs of the client every 4 hours after administration of the drug or as ordered by the primary health care provider. Any significant rise in body temperature is reported to the primary health care provider because the methods of reducing the fever or culture and sensitivity tests may need to be repeated. The nurse should document the symptoms experienced by the client and assess the client for bladder distension as part of the preadministration assessment before administering the drug to the client. The nurse need not document the client's urine output every hour or monitor the client's respiratory rate in this case.
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 to obtain a daily urine pH as ordered. The client would most likely be receiving which of the following anti-infectives for a UTI because they work better in acidic urine? Select all that apply.
- A. Methenamine (Hiprex)
- B. Amoxicillin (Amoxil)
- C. Fosfomycin (Monurol)
- D. Nitrofurantoin (Macrodantin)
- E. Nalidixic (NegGram)
Correct Answer: A,D
Rationale: A daily urine pH level may be ordered by the physician for clients taking methenamine (Hiprex) or nitrofurantoin (Macrodantin) for a UTI because they work better in acidic urine.