Med Surg Chapter 45 Test Questions With 100%
Verified Answers Graded A+
When teaching a female patient about measures to prevent recurrent urinary tract infection
(UTI), what instructions should the nurse include? Select all that apply.
1 Urinate every six hours.
2 Wipe from front to back after urinating.
3 Empty the bladder before and after sexual intercourse.
4 Use vaginal douches or sprays to clean the perineal area.
5 Cleanse with warm soapy water after each bowel movement. - -Correct 2,3,5
The nurse should instruct the patient to wipe from front to back after urinating to avoid
contamination by other structures, because this can increase the risk of UTIs. Emptying the
bladder before and after sexual intercourse will help to keep the perineum clean and
reduce the risk of UTIs. Cleansing the perineum with warm soapy water after each bowel
movement to clean the anal region will reduce the risk of UTIs. Regular urination may
prevent bacteria from growing; therefore the patient should be encouraged to void every
two to three hours. Vaginal douches or sprays to clean the perineal area should be avoided,
because these contain harsh chemicals and substances that can cause irritation and can
increase the risk of urinary infection.
Escherichia coli is resistant to what medications? Select all that apply.
1 Fosfomycin
2 Ciprofloxacin
3 Amphotericin
4 Trimethoprim
5 Sulfamethoxazole - -Correct 4
@MercyTrishia docs
,Med Surg Chapter 45 Test Questions With 100%
Verified Answers Graded A+
E. coli is resistant to trimethoprim and sulfamethoxazole. These are used in combination to
treat uncomplicated or initial urinary tract infection (UTI). Fosfomycin is a first-choice drug
used to treat uncomplicated or initial UTIs. Ciprofloxacin is a fluoroquinolone derivative
that is used to treat complicated UTIs. Amphotericin is the preferred therapy in patients
with UTI secondary to fungi.
A patient is admitted with urethral diverticula. Which of the following clinical
manifestations would the nurse expect to document? Select all that apply.
1 Fever
2 Gross hematuria
3 Clear, yellow urine
4 Post-void dribbling
5 Urinary incontinence - -Correct 2,4,5
Post-void dribbling, urinary incontinence, and gross hematuria are classic symptoms for
urethral diverticula. Fever is a symptom of pyelonephritis, not urethral diverticula. The
patient would have cloudy urine, not clear, yellow urine.
The nurse is teaching patients who are at an increased risk of urinary tract infections (UTIs)
about the use of cranberry products in preventing UTIs. What important instructions should
the nurse include in the teaching? Select all that apply.
1 Cranberry has no effect on UTIs.
2 Cranberry juice is more effective than cranberry capsules.
3 Cranberry products have a protective effect in preventing UTIs.
4 Drinking an adequate amount of fluid is important to prevent UTIs.
@MercyTrishia docs
, Med Surg Chapter 45 Test Questions With 100%
Verified Answers Graded A+
5 Taking cranberry capsules and not drinking water will prevent UTIs. - -Correct 2,3,4
Cranberry juice is more effective than cranberry capsules, probably due to the increased
hydration from the juice. Cranberry products have a protective effect in reducing UTIs,
because the juice works by preventing the attachment of bacteria to the epithelial cells in
the bladder wall. Drinking an adequate amount of fluid is important to prevent UTIs,
because it promotes hydration. Only taking cranberry capsules and not drinking water will
not help to prevent UTIs, because adequate fluid intake is essential for proper functioning
of the renal system.
Which nursing instructions that promote safety are beneficial to a patient with interstitial
cystitis (IC)? Select all that apply.
1 "Avoid using vaginal sprays."
2 "Continue the medications as prescribed."
3 "Avoid clothing that creates suprapubic pressure."
4 "Take high-potency vitamins along with the medications."
5 "Take the full course of antibiotics to ensure that bacteria have been eradicated." - -
Correct 2,3,5
Patients with interstitial cystitis should continue medications as prescribed. Clothing that
creates suprapubic pressure, including pants with tight belts or restrictive waistlines,
should be avoided. The nurse should encourage patients to take the full course of
antibiotics to ensure that bacteria have been eradicated. Vaginal sprays should be avoided
in patients with urethritis. Patients with IC should take a multivitamin containing not more
than the recommended dietary allowance and avoid high-potency vitamins because they
may irritate the bladder. Test-Taking Tip: Make certain that the answer you select is
reasonable and obtainable under ordinary circumstances and that the action can be
carried out in the given situation.
@MercyTrishia docs
Verified Answers Graded A+
When teaching a female patient about measures to prevent recurrent urinary tract infection
(UTI), what instructions should the nurse include? Select all that apply.
1 Urinate every six hours.
2 Wipe from front to back after urinating.
3 Empty the bladder before and after sexual intercourse.
4 Use vaginal douches or sprays to clean the perineal area.
5 Cleanse with warm soapy water after each bowel movement. - -Correct 2,3,5
The nurse should instruct the patient to wipe from front to back after urinating to avoid
contamination by other structures, because this can increase the risk of UTIs. Emptying the
bladder before and after sexual intercourse will help to keep the perineum clean and
reduce the risk of UTIs. Cleansing the perineum with warm soapy water after each bowel
movement to clean the anal region will reduce the risk of UTIs. Regular urination may
prevent bacteria from growing; therefore the patient should be encouraged to void every
two to three hours. Vaginal douches or sprays to clean the perineal area should be avoided,
because these contain harsh chemicals and substances that can cause irritation and can
increase the risk of urinary infection.
Escherichia coli is resistant to what medications? Select all that apply.
1 Fosfomycin
2 Ciprofloxacin
3 Amphotericin
4 Trimethoprim
5 Sulfamethoxazole - -Correct 4
@MercyTrishia docs
,Med Surg Chapter 45 Test Questions With 100%
Verified Answers Graded A+
E. coli is resistant to trimethoprim and sulfamethoxazole. These are used in combination to
treat uncomplicated or initial urinary tract infection (UTI). Fosfomycin is a first-choice drug
used to treat uncomplicated or initial UTIs. Ciprofloxacin is a fluoroquinolone derivative
that is used to treat complicated UTIs. Amphotericin is the preferred therapy in patients
with UTI secondary to fungi.
A patient is admitted with urethral diverticula. Which of the following clinical
manifestations would the nurse expect to document? Select all that apply.
1 Fever
2 Gross hematuria
3 Clear, yellow urine
4 Post-void dribbling
5 Urinary incontinence - -Correct 2,4,5
Post-void dribbling, urinary incontinence, and gross hematuria are classic symptoms for
urethral diverticula. Fever is a symptom of pyelonephritis, not urethral diverticula. The
patient would have cloudy urine, not clear, yellow urine.
The nurse is teaching patients who are at an increased risk of urinary tract infections (UTIs)
about the use of cranberry products in preventing UTIs. What important instructions should
the nurse include in the teaching? Select all that apply.
1 Cranberry has no effect on UTIs.
2 Cranberry juice is more effective than cranberry capsules.
3 Cranberry products have a protective effect in preventing UTIs.
4 Drinking an adequate amount of fluid is important to prevent UTIs.
@MercyTrishia docs
, Med Surg Chapter 45 Test Questions With 100%
Verified Answers Graded A+
5 Taking cranberry capsules and not drinking water will prevent UTIs. - -Correct 2,3,4
Cranberry juice is more effective than cranberry capsules, probably due to the increased
hydration from the juice. Cranberry products have a protective effect in reducing UTIs,
because the juice works by preventing the attachment of bacteria to the epithelial cells in
the bladder wall. Drinking an adequate amount of fluid is important to prevent UTIs,
because it promotes hydration. Only taking cranberry capsules and not drinking water will
not help to prevent UTIs, because adequate fluid intake is essential for proper functioning
of the renal system.
Which nursing instructions that promote safety are beneficial to a patient with interstitial
cystitis (IC)? Select all that apply.
1 "Avoid using vaginal sprays."
2 "Continue the medications as prescribed."
3 "Avoid clothing that creates suprapubic pressure."
4 "Take high-potency vitamins along with the medications."
5 "Take the full course of antibiotics to ensure that bacteria have been eradicated." - -
Correct 2,3,5
Patients with interstitial cystitis should continue medications as prescribed. Clothing that
creates suprapubic pressure, including pants with tight belts or restrictive waistlines,
should be avoided. The nurse should encourage patients to take the full course of
antibiotics to ensure that bacteria have been eradicated. Vaginal sprays should be avoided
in patients with urethritis. Patients with IC should take a multivitamin containing not more
than the recommended dietary allowance and avoid high-potency vitamins because they
may irritate the bladder. Test-Taking Tip: Make certain that the answer you select is
reasonable and obtainable under ordinary circumstances and that the action can be
carried out in the given situation.
@MercyTrishia docs
