A nurse in a clinic is caring for a client who has a urinary tract infection (UTI). Which of the following prescriptions should the nurse verify with a provider?

Trimethoprim-sulfamethoxazole

Hyoscyamine

Oxybutynin

Phenazopyridine

Answer and Explanation

The Correct Answer is C

A. Trimethoprim-sulfamethoxazole: This antibiotic is commonly prescribed for treating urinary tract infections. There is typically no need to verify this prescription with the provider, as it is appropriate for the condition.

B. Hyoscyamine: Hyoscyamine is an anticholinergic that can be used to relieve urinary symptoms associated with UTIs, but it is not a first-line treatment for the infection itself. Verification may not be necessary unless there are specific concerns about the client's medical history or contraindications.

C. Oxybutynin: Oxybutynin is an anticholinergic medication used to treat overactive bladder by relaxing the bladder muscle. However, in clients with an active urinary tract infection (UTI), it can worsen urinary retention and delay clearance of the infection. It is not appropriate for managing UTI symptoms and may mask urinary urgency while contributing to incomplete bladder emptying, which increases the risk of complications. Therefore, the nurse should verify this prescription with the provider before administering.

D. Phenazopyridine: This is a urinary analgesic used to relieve burning and discomfort during urination with a UTI. It does not treat the infection, but helps with symptom management. It is safe for short-term use.

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Correct Answer is B

Explanation

A. Have adolescents lead peer discussions in schools about safe sexual practices: While this intervention promotes education and awareness, it primarily addresses social and educational factors rather than financial ones. It focuses on behavior change among peers rather than directly impacting financial barriers to healthcare access.

B. Distribute condoms through remote community clinics: This intervention directly addresses financial factors affecting community health by ensuring access to condoms, which may otherwise be a financial burden for some individuals. Providing free condoms helps reduce the economic barriers to safe sex practices and promotes better sexual health in the community.

C. Create commercial advertisements describing the long-term effects of HIV: While advertisements can raise awareness about HIV and its consequences, this intervention focuses on informational and awareness aspects rather than directly addressing financial barriers to health services or prevention resources.

D. Include information about perinatal HIV transmission at prenatal education classes: This intervention enhances education regarding HIV transmission but primarily addresses health education rather than financial factors. While it is crucial for preventing transmission, it does not focus on overcoming financial barriers that may limit access to necessary resources or care.

A. Log out of the computer terminal before leaving. B. Share passwords for computer access with colleagues. C. Change computer access passwords on a regular basis. D. Avoid accessing information about clients admitted to other units. E. Shred computer-generated client worksheets after use.

Correct Answer is ["A","C","D","E"]

Explanation

A. Log out of the computer terminal before leaving: Logging out of the computer terminal is a crucial step in maintaining client confidentiality. It prevents unauthorized individuals from accessing sensitive client information when the nurse is away from the terminal.

B. Share passwords for computer access with colleagues: Sharing passwords compromises the security of client information and violates confidentiality protocols. Each nurse should use their unique login credentials to ensure accountability and protect client data.

C. Change computer access passwords on a regular basis: Regularly changing passwords enhances security and helps protect client confidentiality. This practice reduces the risk of unauthorized access to electronic medical records.

D. Avoid accessing information about clients admitted to other units: Avoiding access to information about clients in other units is an essential practice for maintaining confidentiality. Nurses should only access information relevant to their assigned clients to ensure compliance with privacy regulations.

E. Shred computer-generated client worksheets after use: Shredding printed materials containing client information is vital for protecting confidentiality. Proper disposal of sensitive documents prevents unauthorized access to client data and ensures compliance with privacy policies.

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A nurse in a clinic is caring for a client who has a urinary tract infection (UTI). Which of the following prescriptions should the nurse verify with a provider?

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