Chapter 42 Drugs Used to Treat Disorders of the Urinary System

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Chapter 42  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

Feedback
A
Pyridium reduces pain associated with bladder spasms related to urinary tract infection (UTI).
B
Antimicrobial agents do not enhance output.
C
Antimicrobial agents do not eliminate urinary retention.
D
This is the action of urinary antimicrobial agents.

DIF: Cognitive Level: Comprehension REF: 658
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 urinary tract infection. Which drug would assist in relieving symptoms?
A.
Tolterodine (Detrol)
B.
Nitrofurantoin (Furadantin)
C.
Phenazopyridine hydrochloride (Pyridium)
D.
Oxybutynin chloride (Ditropan)

ANS: C

Feedback
A
Tolterodine is given for treatment of overactive bladder.
B
Nitrofurantoin is given for treatment of UTIs, but does not treat bladder pain or spasms.
C
Phenazopyridine relieves burning pain, urgency, and frequency associated with UTIs.
D
Oxybutynin is given for treatment of overactive bladder.

DIF: Cognitive Level: Comprehension REF: 666
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

Feedback
A
Meperidine masks symptoms of pain that could lead to a more specific diagnosis and will not treat the underlying problem.
B
Bethanechol is given for treatment of nonobstructive urinary retention.
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.
D
Metronidazole is given for treatment of vaginal infections.

DIF: Cognitive Level: Application REF: 659
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 urinary tract infections?
A.
In a one-time dose
B.
Once per day
C.
Once per week
D.
Monthly

ANS: A

Feedback
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.
B
Fosfomycin is given in a single dose.
C
Fosfomycin is given in a single dose.
D
Fosfomycin is given in a single dose.

DIF: Cognitive Level: Knowledge REF: 659
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Safe, Effective Care Environment

 

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