Chapter 34: Drugs for Urinary Tract Disorders

Chapter 34: Drugs for Urinary Tract Disorders

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. 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?

a.	Cystitis
b.	Dysuria
c.	Pyelonephritis
d.	Urethritis

 

 

ANS:  C

These are symptoms of pyelonephritis, characterized by fever, dysuria, flank pain, and urinary frequency.

 

DIF:    COGNITIVE LEVEL: Understanding (Comprehension)    REF:   Page 461

TOP:   NURSING PROCESS: Assessment

MSC:  NCLEX: Physiological Integrity: Pathophysiology

 

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

a.	Cystitis
b.	Prostatitis
c.	Pyelonephritis
d.	Urethritis

 

 

ANS:  B

In a male patient, a lower UTI is most likely prostatitis with symptoms similar to cystitis.

 

DIF:    COGNITIVE LEVEL: Understanding (Comprehension)    REF:   Page 461

TOP:   NURSING PROCESS: Assessment

MSC:  NCLEX: Physiological Integrity: Pathophysiology

 

3. 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 will the nurse expect the provider to select when treating this patient?

a.	Fosfomycin tromethamine (Monurol)
b.	Nalidixic acid (NegGram)
c.	Nitrofurantoin (Macrodantin)
d.	Trimethoprim-sulfamethoxazole (Bactrim)

 

 

ANS:  A

Fosfomycin is given as a one-time, single dose. Nalidixic acid is given 4 times daily for 1 to 2 weeks. Nitrofurantoin is given 4 times daily. Trimethoprim-sulfamethoxazole is given twice daily.

 

DIF:    COGNITIVE LEVEL: Applying (Application)                  REF:   Page 461

TOP:   NURSING PROCESS: Planning

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

 

4. 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?

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.

 

 

ANS:  D

A urinalysis, as well as a culture and sensitivity, is usually performed before initiating drug therapy. An antipyretic is indicated for fever but does not need to be timed before the antibiotic. An oral antibiotic is not indicated. A urinary analgesic is given as needed.

 

DIF:    COGNITIVE LEVEL: Applying (Application)                  REF:   Page 461

TOP:   NURSING PROCESS: Nursing Intervention

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

 

5. 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?

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.”

 

 

ANS:  C

Patients taking nitrofurantoin should take the drug with foods and increase fluid intake. The drug should not be taken with antacids. Brown urine is a harmless side effect. Tingling of extremities can indicate neuropathy.

 

DIF:    COGNITIVE LEVEL: Applying (Application)                  REF:   Page 461

TOP:   NURSING PROCESS: Nursing Intervention: Patient Teaching

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies