Nokea
After teaching a client about her prescribed anti-infective therapy for her UTI, the nurse determines that the teaching was successful when the client states which of the following? Select all that apply.
- A. I can stop the drug once my symptoms disappear.
- B. I can take the medication with food or meals.
- C. I can drink pineapple juice to keep things acidic.
- D. I'll call my primary health care provider if I don't feel better in about 3 days.
- E. I should avoid drinking any beverages that contain alcohol.
Correct Answer: B,D,E
Rationale: The client should complete the full course of therapy even with symptom relief to ensure that all bacteria have been eliminated from the urinary tract. The client should take the drug with food or meals. Cranberry juice, prune juice, and water are recommended. Alcohol and citrus juices such as orange or pineapple juice are to be avoided. The client should notify her primary health care provider if the symptoms do not subside within 3 to 4 days.
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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.
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 caring for a client taking warfarin (Coumadin) develops a UTI. The nurse should monitor the client for increased risk of bleeding if which of the following anti-infectives is prescribed?
- A. Amoxicillin
- B. Methenamine
- C. Sulfamethoxazole
- D. Nitrofurantoin
Correct Answer: C
Rationale: Sulfamethoxazole, when administered concomitantly with warfarin (Coumadin), can increase a client's risk for bleeding. This interaction is not associated with amoxicillin, methenamine, or nitrofurantoin.
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 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.