STUVIA 2024/2025
Chapter 48: Urinary Disorders
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.
A male patient reports urinary urgency and pain with burning on urination. The nurse understands
that this patient will likely be treated for which condition?
a. Cystitis
b. Prostatitis
c. Pyelonephritis
d. Urethritis - ✔✔ANS: B
In a male patient, a lower urinary tract infection is most likely prostatitis with symptoms similar to
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cystitis, such as pain and burning on urination and urinary frequency and urgency.
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 could the provider select when
treating this patient to help with medication adherence due to its efficacy as a single-dose treatment?
a. Fosfomycin tromethamine (Monurol)
b. Ciprofloxacin (Cipro)
c. Nitrofurantoin (Macrodantin)
d. Trimethoprim-sulfamethoxazole (Bactrim) - ✔✔ANS: A
Fosfomycin is given as a one-time, single dose. Ciprofloxacin is given daily or twice a day.
Nitrofurantoin is given four times daily. Trimethoprim-sulfamethoxazole is given twice daily.
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
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Chapter 48_ Urinary Disorders.pdf Chapter 48_ Urinary Disorders.pdf Chapter 48_ Urinary Disorders.pdf