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Chapter 46
Urinary Tract Infections
| Question | Answer |
|---|---|
| Sulfonamides and trimethoprim inhibit bacterial growth by... | preventing the synthesis of a folic acid derivative, tetrahydrofolate. |
| A nurse prepares to give trimethoprim-sulfamethoxazole to a client with a latex allergy, a sulfa allergy, and a betadine allergy. Which of these allergies is a contraindication for this medicine? | Sulfa allergy |
| A client states, "While taking trimethoprim-sulfamethoxazole, I do not need an added contraceptive." Why is this statement false? | When taking trimethoprim-sulfamethoxazole, an additional contraceptive is necessary. |
| With which of the following should a trimethoprim-sulfamethoxazole be taken? A. A full glass of milk B. A 12 oz glass of water C. An 8 oz glass of water D. A half-full glass of Dr. Pepper | C. An 8 oz glass of water |
| Trimethoprim-sulfamethoxazole causes (Increased/Decreased) effects of warfrin, so the dosages given should be (Raised, Lowered)? | Trimethoprim-sulfamethoxazole causes INCREASED effects of warfrin, so the dosages should be DECREASED |
| Trimethoprim-sulfamethoxazole is considered effective when a _____ _______ comes back negative. | Urine culture |
| Trimethoprim-sulfamethoxazole is used to treat urinary tract infections. What kind of bacteria causes UTIs? | Escheria coli |
| Nitrofurantoin is a urinary tract antiseptic, which works by doing what to DNA? | Damaging it |
| A client who is taking nitrofurantoin discovers that she is pregnant and wants to know if she should discontinue the medication. Of what should the nurse inform her? | The nurse should inform of the possible birth defects that can develop if taking this medication while pregnant. |
| A client with kidney should or should not be on nitrofurantoin? | Should not; impaired kidney function increases the risk of toxicity as well as peripheral neuropathy. |
| What could a nurse do in order to prevent GI upset when administering nitrofurantoin? | Administer with milk or meals |
| Which of the following is not an adverse reaction of nitrofurantoin? A. Hypersensitivity B. Tendon rupture C. Blood dyscrasias D. Headache | Tendon rupture, which is a possible adverse effect of fluoroquinolones |
| A nurse should tell their client taking nitrofurantoin that their urine might turn which color? | rust-yellow to brown |
| How does a nurse know that a urinary antiseptic has been effective? | Lab work shows a lowered WBC count |
| How do fluroquinolones work? | they inhibit an enzyme necessary for DNA production |
| A nurse states, "I am going to deliver this ciproflaxin IVP over 5 minutes." By which method should this medication be delivered instead? | IV, slowly, oven 60 minutes, into a large vein |
| A client wants to know why her 11-year-old child will not be given ciproflaxin. Of what should the nurse inform her? | "Due to the risk of Achilles tendon rupture, ciproflaxin is not given to children under 18 years of age. |
| A client taking a fluroquinolone is talking excitedly about an upcoming trip to the beach. Of which possible complication should the client be made aware? | Possible phototoxicity or severe sunburn |
| How can a nurse inform a client to take a fluroquinolone to decrease GI upset? | Take with non-dairy food |
| A patient knows that a fluroquinolone has been effective when these manifestations of a UTI dissapate. | Frequency, burning, and dysuria |
| What type of medication is phenazopyridine? A. Urinary tract analgesic B. Urinary tract antiseptic C. Urinary tract antibiodic | A. Urinary tract analgesic |
| What affect can phenazyopyridine have on the urine? | It can turn the urine to an orange-red color |
Created by:
NatMc1204
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