Nokea
When describing the adverse reactions associated with anti-infectives for UTIs, which of the following would the nurse explain as being most common?
- A. Gastrointestinal
- B. Dermatologic
- C. Neurologic
- D. Urologic
Correct Answer: A
Rationale: Although dermatologic reactions such as rash, pruritus, and photosensitivity reactions can occur and neurologic reactions such as dizziness, drowsiness, headache, blurred vision, and weakness can occur, adverse reactions associated with anti-infectives are primarily gastrointestinal in nature.
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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 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.
A nurse is caring for a client who is being prescribed phenazopyridine. The client is distressed on seeing that the urine is exhibiting a reddish-orange discoloration. Which response by the nurse would be most appropriate?
- A. We will have to get a specimen for a urinalysis.
- B. I will have to notify the primary health care provider immediately.
- C. You will need to increase your fluid intake.
- D. This discoloration is a normal result of the medication. Nothing is wrong.
Correct Answer: D
Rationale: The nurse should inform the client that phenazopyridine may cause a reddish-orange discoloration of the urine, which is normal, so there is no cause to worry. Periodic urinalyses are conducted as part of the ongoing assessment when caring for a client with a UTI. Since the reddish-orange discoloration of the urine is normal, the nurse need not notify the primary health care provider immediately. The nurse also need not ask the client to increase intake of fluids.
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 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.