A client with a urinary tract infection is experiencing intense burning and pain. The nurse reviews the client's electronic medical record after the client is prescribed phenazopyridine. What finding would contraindicate the safe and effective use of this medication?

Fever and chills

Burning and pain with urination

Bright orange urine

History of renal impairment

Answer and Explanation

The Correct Answer is D

A. Fever and chills: Fever and chills are signs of infection and do not contraindicate the use of phenazopyridine, which is used for pain relief in UTI.

B. Burning and pain with urination: These are symptoms of a UTI, and phenazopyridine is used to treat the associated discomfort.

C. Bright orange urine: This is a common side effect of phenazopyridine and does not contraindicate its use.

D. History of renal impairment: Phenazopyridine is contraindicated in patients with renal impairment because it can accumulate in the body, leading to toxicity.

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Correct Answer is D

Explanation

A. To reduce the size of the prostate gland: Doxazosin does not reduce the size of the prostate; it works by relaxing smooth muscle to improve urinary flow.

B. To increase testosterone levels: Doxazosin does not affect testosterone levels; it is an alpha-blocker that helps with urinary symptoms of BPH.

C. To treat urinary tract infections: Doxazosin is not used for treating infections; it addresses symptoms related to BPH.

D. To relax the smooth muscles in the bladder neck and prostate: This is correct. Doxazosin is an alpha-1 adrenergic blocker that helps relax smooth muscles in the prostate and bladder neck, improving urine flow and relieving symptoms of BPH.

A. Perform a bladder scan to check for urinary retention B. Start the client on an increased fluid intake regimen C. Notify the healthcare provider immediately to order a urine culture and initiate antibiotic treatment D. Administer acetaminophen to reduce the fever

Correct Answer is C

Explanation

A. Perform a bladder scan to check for urinary retention: While urinary retention may be a concern, the client's symptoms (confusion, fever, foul-smelling urine) indicate a possible UTI, which should be addressed first.

B. Start the client on an increased fluid intake regimen: While fluid intake is important, the client needs immediate medical attention to diagnose and treat a possible infection.

C. Notify the healthcare provider immediately to order a urine culture and initiate antibiotic treatment: Correct. The client's symptoms suggest a urinary tract infection, which requires prompt diagnosis and treatment with antibiotics.

D. Administer acetaminophen to reduce the fever: While fever management is important, it does not address the underlying cause of the symptoms, which is likely a UTI.

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A client with a urinary tract infection is experiencing intense burning and pain. The nurse reviews the client's electronic medical record after the client is prescribed phenazopyridine. What finding would contraindicate the safe and effective use of this medication?

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Naxlex Comprehensive Predictor Exams

Which of the following is a common use for doxazosin in the treatment of benign prostatic hyperplasia (BPH)?

Correct Answer is D

Explanation

Correct Answer is C

Explanation

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