Question 1

The nurse provides teaching for a patient who will begin taking nitrofurantoin (Macrodantin)  to treat a urinary tract infection. Which statement by the patient indicates understanding of the teaching?

Accepted Answer

A)   "If I experience gastrointestinal upset, I may take an antacid."
B)   "I should notify my provider immediately if my urine is brown."
C)   "I should take the drug with food and increase my fluid intake."
D)   "Tingling of my fingers is a harmless side effect of this drug."

Question 2

The nurse assumes care for a patient who is experiencing urinary tract spasms and is ordered to receive flavoxate HCl (Urispas) . When reviewing this patient's history, which condition would cause the nurse to notify the provider?

Accepted Answer

A)   Chronic obstructive pulmonary disorder
B)   Diabetes
C)   Glaucoma
D)   Hypotension

Question 3

Which side effect listed below is NOT associated with the urinary analgesic phenazopyridine?

Accepted Answer

A)   Renal dysfunction
B)   Altered blood glucose testing
C)   Reddish-orange urine
D)   Hemolytic anemia

Question 4

The nurse is preparing to administer methenamine (Hiprex)  to a patient who is diagnosed with a urinary tract infection. The nurse reviews the patient's chart and notes a urinary pH of 6.0. Which action will the nurse take?

Accepted Answer

A)   Administer the drug as ordered.
B)   Obtain an order for 8 ounces of cranberry juice three times daily.
C)   Request an order for an increased dose.
D)   Restrict fluids to concentrate the patient's urine.

Question 5

A patient will begin taking a urinary antimuscarinic medication. Which symptom should the patient report immediately?

Accepted Answer

A)   Dry mouth
B)   Fatigue
C)   Increased heart rate
D)   Urinary retention D

Question 6

A 25-year-old female patient reports urinary frequency with pain on urination, flank pain, fever, and chills. The nurse recognizes these symptoms as characteristic of which condition?

Accepted Answer

A)   Cystitis
B)   Dysuria
C)   Pyelonephritis
D)   Urethritis

Question 7

A patient who has pain with urination associated with cystitis will be discharged home with a prescription for phenazopyridine (Pyridium) . What instruction will the nurse include when teaching the patient about this drug?

Accepted Answer

A)   "Do not take this drug concurrently with an antibiotic."
B)   "Report reddish-brown urine to the provider immediately."
C)   "This drug has antiseptic and analgesic properties."
D)   "The drug provides symptomatic relief of pain."

Question 8

The nurse is caring for a hospitalized patient who has symptoms characteristic of pyelonephritis. Before administering the first dose of the intravenous antibiotic, the nurse will ensure that which action is performed?

Accepted Answer

A)   An antipyretic is administered.
B)   A dose of oral antibiotic is given.
C)   A urinary analgesic is given.
D)   A urine culture is obtained. D

Question 9

A male patient reports urinary urgency and pain with burning on urination. The nurse understands that this patient will likely be treated for which condition?

Accepted Answer

A)   Cystitis
B)   Prostatitis
C)   Pyelonephritis
D)   Urethritis B

Question 10

The nurse is caring for a patient who is diagnosed with a urinary tract infection. The patient reports always having difficulty remembering to take medications. Which drug could the provider select when treating this patient to help with medication adherence due to its efficacy as a single-dose treatment?

Accepted Answer

A)   Fosfomycin tromethamine (Monurol) 
B)   Ciprofloxacin (Cipro) 
C)   Nitrofurantoin (Macrodantin) 
D)   Trimethoprim-sulfamethoxazole (Bactrim)

Question 11

An older woman has urgent urinary incontinence related to an overactive bladder. Which medication does the nurse expect the provider to order?

Accepted Answer

A)   Dimethylsulfoxide (DMSO) 
B)   Flavoxate (Urispas) 
C)   Phenazopyridine HCl (Pyridium) 
D)   Tolterodine tartrate (Detrol)

Question 12

The nurse is preparing to administer methenamine (Hiprex)  to a patient who has pyelonephritis. The nurse understands that methenamine use is associated with the potential side effect of crystalluria. Which of the following would increase the risk of crystalluria?

Accepted Answer

A)   Restrict fluid intake.
B)   Darkening of the urine.
C)   Frequent ingestion of cranberry juice.
D)   Combination therapy with a sulfonamide.

Question 13

The nurse is preparing to administer bethanechol chloride (Urecholine)  to a patient. The nurse understands that this drug acts to

Accepted Answer

A)   block parasympathetic nerve impulses.
B)   increase the tone of the urinary detrusor muscle.
C)   relax smooth muscles in the urinary tract.
D)   relieve urinary pain and burning.

Question 14

The nurse is teaching a parent about administering nitrofurantoin suspension to a 5-year-old child. Which instruction will the nurse include in the patient teaching?

Accepted Answer

A)   "Give the medication on an empty stomach."
B)   "Have the child rinse their mouth after taking the drug."
C)   "Limit the child's fluid intake to concentrate the urine."
D)   "Report brownish-colored urine to the child's provider."

Exam 48: Urinary Disorders

The nurse provides teaching for a patient who will begin taking nitrofurantoin (Macrodantin) to treat a urinary tract infection. Which statement by the patient indicates understanding of the teaching?

Correct Answer
verified

The nurse assumes care for a patient who is experiencing urinary tract spasms and is ordered to receive flavoxate HCl (Urispas) . When reviewing this patient's history, which condition would cause the nurse to notify the provider?

Correct Answer
verified

Which side effect listed below is NOT associated with the urinary analgesic phenazopyridine?

Correct Answer
verified

The nurse is preparing to administer methenamine (Hiprex) to a patient who is diagnosed with a urinary tract infection. The nurse reviews the patient's chart and notes a urinary pH of 6.0. Which action will the nurse take?

Correct Answer
verified

A patient will begin taking a urinary antimuscarinic medication. Which symptom should the patient report immediately?

Correct Answer
verified
D

A 25-year-old female patient reports urinary frequency with pain on urination, flank pain, fever, and chills. The nurse recognizes these symptoms as characteristic of which condition?

Correct Answer
verified

A patient who has pain with urination associated with cystitis will be discharged home with a prescription for phenazopyridine (Pyridium) . What instruction will the nurse include when teaching the patient about this drug?

Correct Answer
verified

The nurse is caring for a hospitalized patient who has symptoms characteristic of pyelonephritis. Before administering the first dose of the intravenous antibiotic, the nurse will ensure that which action is performed?

Correct Answer
verified
D

A male patient reports urinary urgency and pain with burning on urination. The nurse understands that this patient will likely be treated for which condition?

Correct Answer
verified
B

Correct Answer
verified

An older woman has urgent urinary incontinence related to an overactive bladder. Which medication does the nurse expect the provider to order?

Correct Answer
verified

The nurse is preparing to administer methenamine (Hiprex) to a patient who has pyelonephritis. The nurse understands that methenamine use is associated with the potential side effect of crystalluria. Which of the following would increase the risk of crystalluria?

Correct Answer
verified

The nurse is preparing to administer bethanechol chloride (Urecholine) to a patient. The nurse understands that this drug acts to

Correct Answer
verified

The nurse is teaching a parent about administering nitrofurantoin suspension to a 5-year-old child. Which instruction will the nurse include in the patient teaching?

Correct Answer
verified

Exam 48: Urinary Disorders

The nurse provides teaching for a patient who will begin taking nitrofurantoin (Macrodantin) to treat a urinary tract infection. Which statement by the patient indicates understanding of the teaching?

Correct AnswerverifiedShow Answer

The nurse assumes care for a patient who is experiencing urinary tract spasms and is ordered to receive flavoxate HCl (Urispas) . When reviewing this patient's history, which condition would cause the nurse to notify the provider?

Correct AnswerverifiedShow Answer

Which side effect listed below is NOT associated with the urinary analgesic phenazopyridine?

Correct AnswerverifiedShow Answer

The nurse is preparing to administer methenamine (Hiprex) to a patient who is diagnosed with a urinary tract infection. The nurse reviews the patient's chart and notes a urinary pH of 6.0. Which action will the nurse take?

Correct AnswerverifiedShow Answer

A patient will begin taking a urinary antimuscarinic medication. Which symptom should the patient report immediately?

Correct AnswerverifiedD

A 25-year-old female patient reports urinary frequency with pain on urination, flank pain, fever, and chills. The nurse recognizes these symptoms as characteristic of which condition?

Correct AnswerverifiedShow Answer

A patient who has pain with urination associated with cystitis will be discharged home with a prescription for phenazopyridine (Pyridium) . What instruction will the nurse include when teaching the patient about this drug?

Correct AnswerverifiedShow Answer

The nurse is caring for a hospitalized patient who has symptoms characteristic of pyelonephritis. Before administering the first dose of the intravenous antibiotic, the nurse will ensure that which action is performed?

Correct AnswerverifiedD

A male patient reports urinary urgency and pain with burning on urination. The nurse understands that this patient will likely be treated for which condition?

Correct AnswerverifiedB

Correct AnswerverifiedShow Answer

An older woman has urgent urinary incontinence related to an overactive bladder. Which medication does the nurse expect the provider to order?

Correct AnswerverifiedShow Answer

The nurse is preparing to administer methenamine (Hiprex) to a patient who has pyelonephritis. The nurse understands that methenamine use is associated with the potential side effect of crystalluria. Which of the following would increase the risk of crystalluria?

Correct AnswerverifiedShow Answer

The nurse is preparing to administer bethanechol chloride (Urecholine) to a patient. The nurse understands that this drug acts to

Correct AnswerverifiedShow Answer

The nurse is teaching a parent about administering nitrofurantoin suspension to a 5-year-old child. Which instruction will the nurse include in the patient teaching?

Correct AnswerverifiedShow Answer

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified
D

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified
D

Correct Answer
verified
B

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified