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Lewis Chapter 45: Renal and Urological Problems. Exam Questions And Correct Answers $10.49   Add to cart

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Lewis Chapter 45: Renal and Urological Problems. Exam Questions And Correct Answers

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  • Medical Surgical nursing
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  • Medical Surgical Nursing

Lewis Chapter 45: Renal and Urological Problems. Exam Questions And Correct Answers A patient returns to the clinic with recurrent dysuria after being treated with trimethoprim and sulfamethoxazole (Bactrim) for 3 days. Which action will the nurse plan to take? a. Remind the patient about the ...

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  • October 18, 2024
  • 30
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Medical Surgical nursing
  • Medical Surgical nursing
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sirjoel
©SIRJOEL EXAM SOLUTIONS
10/14/2024 11:14 PM


Lewis Chapter 45: Renal and Urological
Problems. Exam Questions And Correct
Answers


A patient returns to the clinic with recurrent dysuria after being treated with trimethoprim and

sulfamethoxazole (Bactrim) 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. Teach the patient to take the prescribed Bactrim for at least 3 more days.


d. Suggest that the patient use acetaminophen (Tylenol) to treat the symptoms. - answer✔ANS:

B

Since 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. Tylenol would not be as effective as other over-the-counter (OTC)

medications such as phenazopyridine (Pyridium) in treating dysuria. The fluid intake should be

increased to at least 1800 mL/day. Since the UTI has persisted after treatment with Bactrim, the

patient is likely to need a different antibiotic.

, ©SIRJOEL EXAM SOLUTIONS
10/14/2024 11:14 PM
DIF: Cognitive Level: Application REF: 1123-1125

The nurse determines that instruction regarding prevention of future urinary tract infections

(UTIs) for a patient with cystitis has been effective when the patient states,

a. "I can use vaginal 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 dis-

couraged. The bladder should be emptied before and after intercourse, but cleaning with soap

and water is not necessary. A quart of fluids is insufficient to provide adequate urine output to

decrease risk for UTI.

Which information will the nurse include when teaching the patient with a urinary tract infection

(UTI) about the use of phenazopyridine (Pyridium)?

a. Take the medication for at least 7 days.

b. Use sunscreen while taking the Pyridium.

c. The urine may turn a reddish-orange color.


d. Use the Pyridium before sexual intercourse. - answer✔ANS: C

, ©SIRJOEL EXAM SOLUTIONS
10/14/2024 11:14 PM
Patients should be taught that Pyridium will color the urine deep orange. Urinary analgesics

should only be needed for a few days until the prescribed antibiotics decrease the bacterial count.

Taking Pyridium before intercourse will not be helpful in reducing the risk for UTI. Pyridium

does not cause photosensitivity.

A 72-year-old who has benign prostatic hyperplasia is admitted to the hospital with chills, fever,

and vomiting. Which finding by the nurse will be most helpful in determining whether the

patient has an upper urinary tract infection (UTI)?

a. Suprapubic pain

b. Bladder distention

c. Foul-smelling urine


d. Costovertebral tenderness - answer✔ANS: D


Costovertebral tenderness is characteristic of pyelonephritis. The other symptoms are

characteristic of lower UTI and are likely to be present if the patient also has an upper UTI.




DIF: Cognitive Level: Application REF: 1128

After teaching a patient with interstitial cystitis about management of the condition, the nurse

determines that further instruction is needed when the patient says,

a. "I will have to stop having coffee and orange juice for breakfast."

b. "I should start taking a high potency multiple vitamin every morning."

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