Chapter 41 Drugs Used to Treat Disorders of the Urinary System

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Chapter 41  Drugs Used to Treat Disorders of the Urinary System

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

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: Page 641 OBJ: 1
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity
NOT: CONCEPT(S): Clinical Judgment; Infection

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: Page 647 OBJ: 1
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity
NOT: CONCEPT(S): Clinical Judgment; Pain

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: Page 641 OBJ: 1
TOP: Nursing Process Step: Evaluation
MSC: NCLEX Client Needs Category: Physiological Integrity
NOT: CONCEPT(S): Clinical Judgment; Infection; Pain

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: Page 642 OBJ: 1
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Safe, Effective Care Environment
NOT: CONCEPT(S): Clinical Judgment; Infection

5. After undergoing prostate surgery, a patient is discharged on the medication phenazopyridine hydrochloride (Pyridium) to assist with urinary catheter discomfort. What information will the nurse include in the discharge teaching?
a.
Urine will have a foul smell while taking this medication.
b.
Diarrhea and abdominal cramping are expected adverse effects.
c.
The sclera of the eye is yellow while on therapy.
d.
Urine will appear reddish orange.

ANS: D
Phenazopyridine hydrochloride is used to produce a local anesthetic effect on the mucosa of the ureters and bladder. Patients should be instructed that phenazopyridine causes urine to become reddish orange, which is not a cause for alarm. Other secretions may also be reddish orange and contact lenses may become stained. Phenazopyridine does not cause a foul odor in the urine. Diarrhea is not a common adverse effect of phenazopyridine. Icterus is a sign of hepatic damage and should be reported to the health care provider.

DIF: Cognitive Level: Application REF: Page 647 OBJ: 3
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
NOT: CONCEPT(S): Clinical Judgment; Patient Education

 

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