LEWIS MEDICAL SURGICAL NURSING 2026
PATIENT MANAGEMENT WORKBOOK SOLVED
QUESTIONS COMPILATION
◉ The nurse determines that instruction regarding prevention of
future urinary tract infections (UTIs) for a patient with cystitis has
been effective when the patient states,
a. "I can use vaginal sprays to reduce bacteria."
b. "I will drink a quart of water or other fluids every day."
c. "I will wash with soap and water before sexual intercourse."
d. "I will empty my bladder every 3 to 4 hours during the day."
Answer: Answer: d. "I will empty my bladder every 3 to 4 hours
during the day."
Voiding every 3 to 4 hours is recommended to prevent UTIs. Use of
vaginal sprays is discouraged. The bladder should be emptied before
and after intercourse, but cleaning with soap and water is not
necessary. A quart of fluids is insufficient to provide adequate urine
output to decrease risk for UTI.
,◉ Which information will the nurse include when teaching the
patient with a urinary tract infection (UTI) about the use of
phenazopyridine (Pyridium)?
a. Take the medication for at least 7 days.
b. Use sunscreen while taking the Pyridium.
c. The urine may turn a reddish-orange color.
d. Use the Pyridium before sexual intercourse.
Answer: Answer: c. The urine may turn a reddish-orange color.
Patients should be taught that Pyridium will color the urine deep
orange. Urinary analgesics should only be needed for a few days
until the prescribed antibiotics decrease the bacterial count. Taking
Pyridium before intercourse will not be helpful in reducing the risk
for UTI. Pyridium does not cause photosensitivity.
◉ A 72-year-old who has benign prostatic hyperplasia is admitted to
the hospital with chills, fever, and vomiting. Which finding by the
nurse will be most helpful in determining whether the patient has
an upper urinary tract infection (UTI)?
a. Suprapubic pain
b. Bladder distention
c. Foul-smelling urine
,d. Costovertebral tenderness
Answer: Answer: d. Costovertebral tenderness
Costovertebral tenderness is characteristic of pyelonephritis. The
other symptoms are characteristic of lower UTI and are likely to be
present if the patient also has an upper UTI.
◉ After teaching a patient with interstitial cystitis about
management of the condition, the nurse determines that further
instruction is needed when the patient says,
a. "I will have to stop having coffee and orange juice for breakfast."
b. "I should start taking a high potency multiple vitamin every
morning."
c. "I will buy some calcium glycerophosphate (Prelief) at the
pharmacy."
d. "I should call the doctor about increased bladder pain or odorous
urine."
Answer: Answer: b. "I should start taking a high potency multiple
vitamin every morning."
High-potency multiple vitamins may irritate the bladder and
increase symptoms. The other patient statements indicate good
understanding of the teaching.
, ◉ When admitting a patient with acute glomerulonephritis, it is
most important that the nurse ask the patient about:
a. recent sore throat and fever.
b. history of high blood pressure.
c. frequency of bladder infections.
d. family history of kidney stones.
Answer: Answer: a. recent sore throat and fever.
Acute glomerulonephritis frequently occurs after a streptococcal
infection such as strep throat. It is not caused by hypertension,
urinary tract infection (UTI), or kidney stones.
◉ Which finding by the nurse for a patient admitted with
glomerulonephritis indicates that treatment has been effective?
a. The patient denies pain with voiding.
b. The urine dipstick is negative for nitrites.
c. Peripheral and periorbital edema is resolved.
d. The antistreptolysin-O (ASO) titer is decreased.
Answer: Answer: c. Peripheral and periorbital edema is resolved.
PATIENT MANAGEMENT WORKBOOK SOLVED
QUESTIONS COMPILATION
◉ The nurse determines that instruction regarding prevention of
future urinary tract infections (UTIs) for a patient with cystitis has
been effective when the patient states,
a. "I can use vaginal sprays to reduce bacteria."
b. "I will drink a quart of water or other fluids every day."
c. "I will wash with soap and water before sexual intercourse."
d. "I will empty my bladder every 3 to 4 hours during the day."
Answer: Answer: d. "I will empty my bladder every 3 to 4 hours
during the day."
Voiding every 3 to 4 hours is recommended to prevent UTIs. Use of
vaginal sprays is discouraged. The bladder should be emptied before
and after intercourse, but cleaning with soap and water is not
necessary. A quart of fluids is insufficient to provide adequate urine
output to decrease risk for UTI.
,◉ Which information will the nurse include when teaching the
patient with a urinary tract infection (UTI) about the use of
phenazopyridine (Pyridium)?
a. Take the medication for at least 7 days.
b. Use sunscreen while taking the Pyridium.
c. The urine may turn a reddish-orange color.
d. Use the Pyridium before sexual intercourse.
Answer: Answer: c. The urine may turn a reddish-orange color.
Patients should be taught that Pyridium will color the urine deep
orange. Urinary analgesics should only be needed for a few days
until the prescribed antibiotics decrease the bacterial count. Taking
Pyridium before intercourse will not be helpful in reducing the risk
for UTI. Pyridium does not cause photosensitivity.
◉ A 72-year-old who has benign prostatic hyperplasia is admitted to
the hospital with chills, fever, and vomiting. Which finding by the
nurse will be most helpful in determining whether the patient has
an upper urinary tract infection (UTI)?
a. Suprapubic pain
b. Bladder distention
c. Foul-smelling urine
,d. Costovertebral tenderness
Answer: Answer: d. Costovertebral tenderness
Costovertebral tenderness is characteristic of pyelonephritis. The
other symptoms are characteristic of lower UTI and are likely to be
present if the patient also has an upper UTI.
◉ After teaching a patient with interstitial cystitis about
management of the condition, the nurse determines that further
instruction is needed when the patient says,
a. "I will have to stop having coffee and orange juice for breakfast."
b. "I should start taking a high potency multiple vitamin every
morning."
c. "I will buy some calcium glycerophosphate (Prelief) at the
pharmacy."
d. "I should call the doctor about increased bladder pain or odorous
urine."
Answer: Answer: b. "I should start taking a high potency multiple
vitamin every morning."
High-potency multiple vitamins may irritate the bladder and
increase symptoms. The other patient statements indicate good
understanding of the teaching.
, ◉ When admitting a patient with acute glomerulonephritis, it is
most important that the nurse ask the patient about:
a. recent sore throat and fever.
b. history of high blood pressure.
c. frequency of bladder infections.
d. family history of kidney stones.
Answer: Answer: a. recent sore throat and fever.
Acute glomerulonephritis frequently occurs after a streptococcal
infection such as strep throat. It is not caused by hypertension,
urinary tract infection (UTI), or kidney stones.
◉ Which finding by the nurse for a patient admitted with
glomerulonephritis indicates that treatment has been effective?
a. The patient denies pain with voiding.
b. The urine dipstick is negative for nitrites.
c. Peripheral and periorbital edema is resolved.
d. The antistreptolysin-O (ASO) titer is decreased.
Answer: Answer: c. Peripheral and periorbital edema is resolved.
