Chapter 41: Drugs Used to Treat Disorders of the Urinary System Clayton/Willihnganz: Basic Pharmacology for Nurses, 17th Edition

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) This study source was downloaded by from CourseH on :04:08 GMT -05:00 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 L