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LEWIS MEDICAL SURGICAL NURSING CHAP 50: RENAL AND UROLOGIC PROBLEMS QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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LEWIS MEDICAL SURGICAL NURSING CHAP 50: RENAL AND UROLOGIC PROBLEMS QUESTIONS AND ANSWERS WITH SOLUTIONS 2024

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  • August 31, 2024
  • 14
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • lewis medical surgical nursing chap 50 renal and

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  • Lewis Medical Surgical Nursing 12TH
  • Lewis Medical Surgical Nursing 12TH

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LEWIS MEDICAL SURGICAL NURSING
CHAP 50: RENAL AND UROLOGIC
PROBLEMS QUESTIONS AND
ANSWERS WITH SOLUTIONS 2024
A 46-yr-old female patient returns to the clinic with continued dysuria after being treated with
trimethoprim and sulfamethoxazole for 3 days. Which action will the nurse plan to take?

a. Remind the patient about the need to drink 1000 mL of fluids daily.

b. Obtain a midstream urine specimen for culture and sensitivity testing.

c. Suggest that the patient use acetaminophen (Tylenol) to relieve symptoms. d. Tell the patient to take
the trimethoprim and sulfamethoxazole for 3 more days - ANSWER ANS: B Because uncomplicated
urinary tract infections (UTIs) are usually successfully treated with 3 days of antibiotic therapy, this
patient will need a urine culture and sensitivity to determine appropriate antibiotic therapy.
Acetaminophen would not be as effective as other over-the-counter medications such as
phenazopyridine in treating dysuria. The fluid intake should be increased to at least 1800 mL/day.
Because the UTI has persisted after treatment with trimethoprim and sulfamethoxazole, the patient is
likely to need a different antibiotic.



Which statement by a 22-yr-old female patient with cystitis indicates to the nurse that instruction about
preventing future urinary tract infections (UTIs) has been effective?

a. ―I can use vaginal antiseptic sprays to reduce bacteria.‖

b. ―I will drink a quart of water or other fluids every day.‖

c. ―I will wash with soap and water before sexual intercourse.‖

d. ―I will empty my bladder every 3 to 4 hours during the day.‖ - ANSWER ANS: D Voiding every 3 to 4
hours is recommended to prevent UTIs. Use of vaginal sprays is discouraged. The bladder should be
emptied before and after intercourse, but cleaning with soap and water prior to intercourse is not
necessary to prevent UTI. A quart of fluids is insufficient to provide adequate urine output to decrease
risk for UTI.



Which information about phenazopyridine will the nurse teach the patient with a urinary tract infection
(UTI)?

a. Take the drug for at least 7 days.

b. The drug may cause photosensitivity.

c. The drug may change your urine color.

, d. Take the drug before sexual intercourse. - ANSWER ANS: C Patients should be taught that
phenazopyridine will color the urine deep orange. Urinary analgesics would be taken as needed for
dysuria and should be needed for only a few days until the prescribed antibiotics decrease the bacterial
count. Phenazopyridine does not cause photosensitivity



Which finding by the nurse will be most helpful in determining whether a 67-yr-old patient with benign
prostatic hyperplasia has an upper urinary tract infection (UTI)?

a. Bladder distention

b. Foul-smelling urine

c. Suprapubic discomfort

d. Costovertebral tenderness - ANSWER ANS: D Costovertebral tenderness is characteristic of
pyelonephritis. Bladder distention, foul-smelling urine, and suprapubic discomfort are characteristic of a
lower UTI and are likely to be present if the patient also has an upper UTI.



Which statement by a patient with interstitial cystitis indicates to the nurse that further instruction is
needed?

a. ―I should stop having coffee and orange juice for breakfast.‖

b. ―I will buy calcium glycerophosphate (Prelief) at the pharmacy.‖

c. ―I will start taking high potency multiple vitamins every morning.‖

d. ―I should call the doctor about increased bladder pain or foul urine.‖ - ANSWER ANS: C High-potency
multiple vitamins may irritate the bladder and increase symptoms; the patient should take a
multivitamin containing no more than the recommended daily allowance for essential vitamins. The
other patient statements indicate good understanding of the teaching.



Which information in the patient history would indicate a possible cause of acute glomerulonephritis?

a. Recent bladder infection

b. History of kidney stones

c. Recent sore throat and fever

d. History of high blood pressure - ANSWER ANS: C Acute glomerulonephritis frequently occurs after a
streptococcal infection such as strep throat. It is not caused by kidney stones, hypertension, or urinary
tract infection.

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