Phenazopyridine (Pyridium) is prescribed for a client for symptomatic relief of pain
resulting from a lower urinary tract infection. The nurse should provide the client with
which information regarding this medication?
1. Take the medication at bedtime
2. Take the medication before meals
3. Discontinue the medication if a headache occurs
4. A reddish orange discoloration of the urine may occur
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, 4. A reddish orange discoloration of the urine may occur
Rationale: The nurse should instruct the client that a reddish-orange
discoloration of urine may occur. The nurse also should instruct the client
that this discoloration can stain fabric. The medication should be taken after
meals to reduce the possibility of gastrointestinal upset. A headache is an
occasional side effect of the medication and does not warrant
discontinuation of the medication.
Nitrofurantoin (Macrodantin) is prescribed for a client with a urinary tract infection.
The client contacts the nurse and reports a cough, chills, fever, and difficulty
breathing. The nurse should make which interpretation about the client's complaints?
1. The client may have contracted the flu
2. The client is experiencing anaphylaxis
The client is experiencing expected effects of the medication
4. The client is experiencing a pulmonary reaction requiring cessation of the
medication
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4. The client is experiencing a pulmonary reaction requiring cessation of
the medication
Rationale: Nitrofurantoin can induce two kinds of pulmonary reactions:
acute and subacute. Acute reactions, which are most common, manifest
with dyspnea, chest pain, chills, fever, cough, and alveolar infiltrates. These
symptoms resolve 2 to 4 days after discontinuing the medication. Acute
pulmonary responses are thought to be hypersensitivity reactions.
Subacute reactions are rare and occur during prolonged treatment.
Symptoms (e.g., dyspnea, cough, malaise) usually regress over weeks to
months following nitrofurantoin withdrawal. However, in some clients,
permanent lung damage may occur. The remaining options are incorrect
interpretations.
, Medications that can affect incontinence
Anticholinergics - oxybutynin (Ditropan)
Effects - reduced bladder contractility
Side effects - constipation, urinary retention, dry mouth, increases ocular pressure
(ask if pt has glaucoma)
Give this one a try later!
Anticolinergics - medications that "block" the effects of acetylcholine -
blocks muscarine receptors at the detrusor muscle, thus reducing bladded
contractility (the neurotransmitter for the parasympathetic nervous system)
on bladder/sphincter function. Reduces incontinence by causing bladder
muscle relaxation and suppressing the urge to void (overactive bladder tx -
decreases incontinence by delaying desire to void)
Trimethoprim-sulfamethoxazole (TMP-SMZ; Bactrim) is precribed for a client. The
nurse should instruct the client to report which symptom if it develops during the
course of this medication therapy?
1. Nausea
2. Diarrhea
3. Headache
4. Sore throat
Give this one a try later!
resulting from a lower urinary tract infection. The nurse should provide the client with
which information regarding this medication?
1. Take the medication at bedtime
2. Take the medication before meals
3. Discontinue the medication if a headache occurs
4. A reddish orange discoloration of the urine may occur
Give this one a try later!
, 4. A reddish orange discoloration of the urine may occur
Rationale: The nurse should instruct the client that a reddish-orange
discoloration of urine may occur. The nurse also should instruct the client
that this discoloration can stain fabric. The medication should be taken after
meals to reduce the possibility of gastrointestinal upset. A headache is an
occasional side effect of the medication and does not warrant
discontinuation of the medication.
Nitrofurantoin (Macrodantin) is prescribed for a client with a urinary tract infection.
The client contacts the nurse and reports a cough, chills, fever, and difficulty
breathing. The nurse should make which interpretation about the client's complaints?
1. The client may have contracted the flu
2. The client is experiencing anaphylaxis
The client is experiencing expected effects of the medication
4. The client is experiencing a pulmonary reaction requiring cessation of the
medication
Give this one a try later!
4. The client is experiencing a pulmonary reaction requiring cessation of
the medication
Rationale: Nitrofurantoin can induce two kinds of pulmonary reactions:
acute and subacute. Acute reactions, which are most common, manifest
with dyspnea, chest pain, chills, fever, cough, and alveolar infiltrates. These
symptoms resolve 2 to 4 days after discontinuing the medication. Acute
pulmonary responses are thought to be hypersensitivity reactions.
Subacute reactions are rare and occur during prolonged treatment.
Symptoms (e.g., dyspnea, cough, malaise) usually regress over weeks to
months following nitrofurantoin withdrawal. However, in some clients,
permanent lung damage may occur. The remaining options are incorrect
interpretations.
, Medications that can affect incontinence
Anticholinergics - oxybutynin (Ditropan)
Effects - reduced bladder contractility
Side effects - constipation, urinary retention, dry mouth, increases ocular pressure
(ask if pt has glaucoma)
Give this one a try later!
Anticolinergics - medications that "block" the effects of acetylcholine -
blocks muscarine receptors at the detrusor muscle, thus reducing bladded
contractility (the neurotransmitter for the parasympathetic nervous system)
on bladder/sphincter function. Reduces incontinence by causing bladder
muscle relaxation and suppressing the urge to void (overactive bladder tx -
decreases incontinence by delaying desire to void)
Trimethoprim-sulfamethoxazole (TMP-SMZ; Bactrim) is precribed for a client. The
nurse should instruct the client to report which symptom if it develops during the
course of this medication therapy?
1. Nausea
2. Diarrhea
3. Headache
4. Sore throat
Give this one a try later!
