Nokea
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.
You may also like to solve these questions
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.
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 needs to start methenamine for a client. The nurse checks the client's medical record for an allergy to which of the following?
- A. Sulfa
- B. Tartrazine
- C. Shellfish
- D. Penicillin
Correct Answer: B
Rationale: Clients who are allergic to tartrazine, a food dye, should not receive methenamine.
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 administering methenamine to a client with a UTI. Which of the following would the nurse instruct the client to avoid?
- A. Ascorbic acid
- B. Sodium bicarbonate
- C. Acetaminophen
- D. Ibuprofen
Correct Answer: B
Rationale: An increased urinary pH (alkaline urine) decreases the effectiveness of methenamine. Therefore, to avoid raising the urine pH when taking methenamine, the client should not use antacids containing sodium bicarbonate or sodium carbonate.