A nurse is providing education to a patient being treated with sulfamethoxazole-trimethoprim (Bactrim) and phenazopyridine (Pyridium) for a urinary tract infection. Which of the following statements by the patient indicates an understanding of the teaching?
"I should drink 1 to 2 glasses of fluid a day to help flush the bacteria out."
"My medication may discolor my urine, this should resolve once the medication is stopped."
"I should stop taking my medications once symptoms have resolved."
"These medications are given to treat fungal infections."
The Correct Answer is B
A. The patient should increase fluid intake to 6 to 8 glasses of water daily, not 1 to 2 glasses, to help flush bacteria out of the urinary tract.
B. Phenazopyridine (Pyridium) can cause orange or red discoloration of urine, which is a harmless and temporary side effect that resolves after the medication is stopped. This indicates the patient understands the teaching.
C. Stopping medications prematurely can lead to incomplete treatment of the infection and potential antibiotic resistance. Patients should complete the full course of prescribed antibiotics.
D. Sulfamethoxazole-trimethoprim (Bactrim) is an antibacterial, and phenazopyridine is a urinary analgesic; neither medication is used to treat fungal infections.
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Related Questions
Correct Answer is A
Explanation
A. Encouraging the client to change positions slowly, such as moving from lying to sitting and then to standing, helps to minimize the risk of orthostatic hypotension. This gradual change allows the body to adjust to positional changes without causing a sudden drop in blood pressure.
B. Encouraging vigorous exercise is not recommended for a client with hypovolemia as it could exacerbate the condition, potentially causing dizziness, fainting, or further lowering blood pressure.
C. Encouraging the client to stand for extended periods is not appropriate for a client at risk for orthostatic hypotension, as standing for prolonged periods can cause blood to pool in the lower extremities, increasing the risk of fainting or dizziness.
D. Encouraging the client to limit fluid intake is inappropriate for a client with hypovolemia. Adequate fluid intake is crucial to help restore blood volume and prevent hypotension.
Correct Answer is A
Explanation
A. Upper UTI refers to infections that affect the kidneys (pyelonephritis) and ureters. These infections are typically more serious and can lead to kidney damage if not treated promptly.
B. Lower UTI refers to infections that affect the bladder (cystitis) or urethra (urethritis), which are generally less severe than upper UTIs.
C. Urosepsis is a severe, systemic infection that results from a UTI that has spread to the bloodstream. It can occur with either upper or lower UTIs.
D. Uncomplicated UTI refers to a straightforward infection of the urinary tract, typically involving the bladder, in an otherwise healthy individual. It is not specifically related to the kidneys or ureters.
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