Chapter 42: Drugs Used to Treat Disorders of the Urinary System

Chapter 42: Drugs Used to Treat Disorders of the Urinary System

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. What is the action of urinary antimicrobial agents?

a.	Reduce pain associated with bladder spasms caused by the infection
b.	Enhance output enough to flush out the infection from the urinary tract
c.	Eliminate urinary retention
d.	Have an antiseptic effect on the urine and the urinary tract

 

 

ANS:  D

Urinary antimicrobial agents have an antiseptic effect on the urine and the urinary tract. Pyridium reduces pain associated with bladder spasms related to urinary tract infection (UTI). Antimicrobial agents do not enhance output or eliminate urinary retention.

 

DIF:    Cognitive Level: Comprehension     REF:   pp. 669-670    OBJ:   1

TOP:   Nursing Process Step: Assessment

MSC:  NCLEX Client Needs Category: Physiological Integrity

 

2. A patient is complaining of moderate bladder pain and spasms secondary to a UTI. Which drug would assist in relieving symptoms?

a.	Tolterodine (Detrol)
b.	Nitrofurantoin (Furadantin)
c.	Phenazopyridine hydrochloride (Pyridium)
d.	Oxybutynin chloride (Ditropan)

 

 

ANS:  C

Phenazopyridine relieves burning pain, urgency, and frequency associated with UTIs. Tolterodine is given for treatment of overactive bladder (OAB). Nitrofurantoin is given for treatment of UTIs, but does not treat bladder pain or spasms. Oxybutynin is given for treatment of OAB.

 

DIF:    Cognitive Level: Comprehension     REF:   p. 676             OBJ:   5

TOP:   Nursing Process Step: Implementation

MSC:  NCLEX Client Needs Category: Physiological Integrity

 

3. A 42-year-old woman is admitted with complaints of dysuria, frequency, and lower back pain. The urinalysis report is positive for red blood cells, and the blood work shows an elevated white blood cell count. Which medication will the nurse anticipate that the health care provider will order?

a.	Meperidine (Demerol)
b.	Bethanechol chloride (Urecholine)
c.	Ciprofloxacin (Cipro)
d.	Metronidazole (Flagyl)

 

 

ANS:  C

Dysuria, frequency, lower back pain, hematuria, and leukocytosis are indicators of a UTI. A variety of antimicrobial agents, including ciprofloxacin, are used to treat UTIs. Meperidine masks symptoms of pain that could lead to a more specific diagnosis and will not treat the underlying problem. Bethanechol is given for treatment of nonobstructive urinary retention. Metronidazole is given for treatment of vaginal infections.

 

DIF:    Cognitive Level: Application           REF:   p. 669             OBJ:   1

TOP:   Nursing Process Step: Evaluation

MSC:  NCLEX Client Needs Category: Physiological Integrity

 

4. How often is fosfomycin (Monurol) usually administered when used in the treatment of UTIs?

a.	In a one-time dose
b.	Once per day
c.	Once per week
d.	Monthly

 

 

ANS:  A

Fosfomycin is the first antibiotic to be approved for administration in a single treatment dose for the treatment of UTIs. Fosfomycin is used to treat females with uncomplicated acute cystitis caused by susceptible strains of Escherichia coli and Enterococcus faecalis. Fosfomycin is not used in the treatment of kidney infections.

 

DIF:    Cognitive Level: Knowledge            REF:   p. 670             OBJ:   1

TOP:   Nursing Process Step: Implementation

MSC:  NCLEX Client Needs Category: Safe, Effective Care Environment