Nokea
The nurse is developing a plan of care for a client who is receiving an anti-infective drug for treatment of a UTI. The nurse has identified a nursing diagnosis of Impaired Urinary Elimination. Which of the following would the nurse include?
- A. Encouraging a fluid intake of at least 2000 mL/day
- B. Offering the client orange juice when administering the medication
- C. Monitoring urine output every 1 to 2 hours
- D. Checking the urine pH every 4 hours
Correct Answer: A
Rationale: Encouraging a fluid intake of at least 2000 mL/day would be appropriate. The nurse should offer fluids such as water, cranberry juice, or prune juice rather than orange juice or other citrus or vegetable juices. Intake and output are usually measured every 8 hours, not every 1 to 2 hours. Urine pH measurements would be appropriate if the client was receiving methenamine or nitrofurantoin.
You may also like to solve these questions
A nurse is developing a teaching plan for a client diagnosed with a UTI and prescribed nitrofurantoin (Macrodantin). The nurse would warn the client about which of the following common gastrointestinal adverse reactions? Select all that apply.
- A. Anorexia
- B. Ileus
- C. Toxic megacolon
- D. Nausea
- E. Diarrhea
Correct Answer: A,D,E
Rationale: Common gastrointestinal adverse reactions seen with the use of nitrofurantoin (Macrodantin) include anorexia, nausea, vomiting, diarrhea, and abdominal pain.
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.
Based on the nurse's understanding about anti-infectives, the nurse would administer nitrofurantoin cautiously to a client with which condition? Select all that apply.
- A. Hypertension
- B. Diabetes
- C. Glucose-6-phosphate dehydrogenase (G6PD) deficiency
- D. Cerebral arteriosclerosis
- E. Myasthenia gravis
Correct Answer: B,C,D
Rationale: A nurse should administer nitrofurantoin cautiously to a client with the following conditions: diabetes, G6PD deficiency, and cerebral arteriosclerosis.
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 client with a UTI is experiencing dysuria. The nurse would expect which of the following to be prescribed?
- A. Nitrofurantoin (Macrodantin)
- B. Oxybutynin (Ditropan)
- C. Sulfamethoxazole/trimethoprim (Bactrim)
- D. Phenazopyridine (Pyridium)
Correct Answer: D
Rationale: Phenazopyridine (Pyridium) is a urinary tract analgesic that is useful in treating dysuria caused by a UTI.