PROGRESSIVE RENAL EDUCATION PROGRAM
ACTUAL EXAM PAPER 2026
◉ UTI signs and symptoms it's affecting the bladder Answer: Bloody
urine
Lower abdominal pain
Frequency and dysuria
◉ Lab testing for UTIs Answer: Clean catch urinalysis - spread labia
and wipe three times before urinating
Urinalysis
◉ Urine pH Answer: average 6.0; range 4.6-8.0
◉ What are good treatments for UTIs? Answer: Cranberry for
uncomplicated UTIs
Antibiotics
◉ Nursing care for patients with UTIs Answer: Encourage fluids
Void after intercourse
Showers preferred to bath baths
,Complete full anabiotic course
Perineal hygiene front to back
◉ What is the first anabiotic typically given for a UTI? Answer:
Trimethroprimsulfamethozazole (Bactrim)
Typically given orally for three days
◉ What are contraindications for trimethoprim/ sulfamethozazole?
Answer: Clients who have a sulfa drug allergy
Clients who are pregnant
Should be used cautiously in clients who have hepatic or renal
impairments
◉ Pt. Education on taking how trimethoprim/sulfamethozazole
(bactrim) should be taken? Answer: Take with a full glass of water
and finish the full prescription
◉ What are possible adverse reactions to trimethoprim/
sulfamethozazole antibiotics? Answer: Steven Johnson syndrome
Hypoglycemia
Diarrhea caused by C-Diff
Aplastic anemia
,◉ Nitrofurantoin is contraindicated in clients who? Answer: Have a
sensitivity to parabens
Older clients who may have decreased renal or hepatic function
Patients who are breast-feeding
◉ Patient education favor taking nitrofurantoin Answer: Take with
food or drink
Their urine may become rust, yellow or brown in color
Notify healthcare provider if develop diarrhea
Fever
Chill
Chest pain
Difficulty breathing
Numbness or tingling
◉ Possible side effects of taking nitrofurantoin Answer: Pulmonary
fibrosis
Hepatotoxicity
Diarrhea associated with C- Diff
◉ What UTI medication is contradicted in clients who have a history
of
-myasthenia gravis
, -those who are on tizanidine and theophylline as it can increase the
levels of these medication's
- not concurrently with phenytoin or NSAIDs Answer: CiproFloxican
(cipro)
◉ Side effects of ciprofloxacin Answer: Increase ICP
Seizures
Suicidal thought
Stephen Johnson
Hepatotoxicity
Diarrhea due to C- DIFF
◉ Patient education for Cipro Answer: Given orally for 7 to 14 days
With or without food
Cannot be taken with anti-acids or medications that contain zinc or
iron
Alters absorption
◉ Report, which side effects of Cipro Answer: Diarrhea
Rash
Numbness or tingling of toes
Yellowing of skin
ACTUAL EXAM PAPER 2026
◉ UTI signs and symptoms it's affecting the bladder Answer: Bloody
urine
Lower abdominal pain
Frequency and dysuria
◉ Lab testing for UTIs Answer: Clean catch urinalysis - spread labia
and wipe three times before urinating
Urinalysis
◉ Urine pH Answer: average 6.0; range 4.6-8.0
◉ What are good treatments for UTIs? Answer: Cranberry for
uncomplicated UTIs
Antibiotics
◉ Nursing care for patients with UTIs Answer: Encourage fluids
Void after intercourse
Showers preferred to bath baths
,Complete full anabiotic course
Perineal hygiene front to back
◉ What is the first anabiotic typically given for a UTI? Answer:
Trimethroprimsulfamethozazole (Bactrim)
Typically given orally for three days
◉ What are contraindications for trimethoprim/ sulfamethozazole?
Answer: Clients who have a sulfa drug allergy
Clients who are pregnant
Should be used cautiously in clients who have hepatic or renal
impairments
◉ Pt. Education on taking how trimethoprim/sulfamethozazole
(bactrim) should be taken? Answer: Take with a full glass of water
and finish the full prescription
◉ What are possible adverse reactions to trimethoprim/
sulfamethozazole antibiotics? Answer: Steven Johnson syndrome
Hypoglycemia
Diarrhea caused by C-Diff
Aplastic anemia
,◉ Nitrofurantoin is contraindicated in clients who? Answer: Have a
sensitivity to parabens
Older clients who may have decreased renal or hepatic function
Patients who are breast-feeding
◉ Patient education favor taking nitrofurantoin Answer: Take with
food or drink
Their urine may become rust, yellow or brown in color
Notify healthcare provider if develop diarrhea
Fever
Chill
Chest pain
Difficulty breathing
Numbness or tingling
◉ Possible side effects of taking nitrofurantoin Answer: Pulmonary
fibrosis
Hepatotoxicity
Diarrhea associated with C- Diff
◉ What UTI medication is contradicted in clients who have a history
of
-myasthenia gravis
, -those who are on tizanidine and theophylline as it can increase the
levels of these medication's
- not concurrently with phenytoin or NSAIDs Answer: CiproFloxican
(cipro)
◉ Side effects of ciprofloxacin Answer: Increase ICP
Seizures
Suicidal thought
Stephen Johnson
Hepatotoxicity
Diarrhea due to C- DIFF
◉ Patient education for Cipro Answer: Given orally for 7 to 14 days
With or without food
Cannot be taken with anti-acids or medications that contain zinc or
iron
Alters absorption
◉ Report, which side effects of Cipro Answer: Diarrhea
Rash
Numbness or tingling of toes
Yellowing of skin
