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 healthcare provider will order?
Metronidazole (Flagyl)
Meperidine (Demerol)
Bethanechol chloride (Urecholine)
Ciprofloxacin (Cipro)
The Correct Answer is D
A. Metronidazole (Flagyl): Metronidazole is used for anaerobic infections and protozoal infections but is not a first-line treatment for urinary tract infections (UTIs).
B. Meperidine (Demerol): This is an analgesic, not an antimicrobial agent; it addresses pain but not the infection.
C. Bethanechol chloride (Urecholine): This is used to manage urinary retention, not infection.
D. Ciprofloxacin (Cipro): Ciprofloxacin, a fluoroquinolone antibiotic, is commonly prescribed for UTIs, especially when blood results indicate infection (elevated WBC count).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["7.5"]
Explanation
Order: 750 mg PO
Available: 0.5 g/5 mL
Convert 0.5 g to mg:
0.5g=500 mg
To calculate the volume:
Volumetoadminister= (Ordered dose /Available concentration)× Volumeperavailabledose
= (750mg /500 mg) × 5ml
= 7.5 ml
Correct Answer is B
Explanation
A. Check for edema of the legs and ankles: Edema is not a common complication of lithotripsy. Monitoring for stone fragments and urinary symptoms is more relevant.
B. Watch for stone debris in the urine in 1 to 4 weeks: Lithotripsy fragments stones, and the patient is expected to pass debris in the urine for several weeks post-procedure.
C. Remain on restricted activity for a week: Patients can usually resume normal activity shortly after lithotripsy unless otherwise instructed.
D. Decrease fluid intake to 1000 mL/day: Increased fluid intake is encouraged to help flush out stone fragments and reduce the risk of recurrence.
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