A client with cystitis receives a prescription for phenazopyridine. Which information should the nurse explain to the client about its therapeutic effect?

Eliminates urinary bacteria.

Use the medication after voiding after sexual intercourse.

Calms spasms in the urinary tract.

Provides an analgesic effect for irritated bladder mucosa.

Answer and Explanation

The Correct Answer is D

Choice A reason:

Phenazopyridine does not eliminate urinary bacteria. It is not an antibiotic and does not have antibacterial properties. Instead, it is used to relieve symptoms such as pain, burning, and discomfort caused by irritation of the urinary tract. Therefore, this choice is incorrect.

Choice B reason:

Using phenazopyridine after voiding or after sexual intercourse is not a standard recommendation. This medication is typically taken after meals to reduce stomach upset. It is not specifically indicated for use after sexual intercourse, and this choice does not align with the typical usage instructions for phenazopyridine.

Choice C reason:

Phenazopyridine does not calm spasms in the urinary tract. Its primary function is to provide symptomatic relief from pain, burning, and discomfort in the urinary tract. It does not have antispasmodic properties, so this choice is also incorrect.

Choice D reason:

Phenazopyridine provides an analgesic effect for irritated bladder mucosa. It works by numbing the lining of the urinary tract, which helps to alleviate pain and discomfort associated with conditions like cystitis. This is the correct therapeutic effect of the medication.

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Correct Answer is B

Explanation

Choice A reason: Assessing the client’s strength in moving and turning in bed is important for overall care, but it is not the primary assessment needed before administering a laxative. This assessment helps in understanding the client’s mobility and risk of pressure ulcers but does not directly relate to the effectiveness or necessity of a laxative.

Choice B reason: Determining the frequency and consistency of bowel movements is crucial before administering a laxative. This assessment provides information on the client’s current bowel function and helps in deciding the appropriate type and dosage of laxative. It ensures that the laxative is necessary and helps prevent complications such as diarrhea or bowel obstruction.

Choice C reason: Observing the skin integrity of the client’s rectal and sacral areas is important for preventing pressure ulcers and maintaining skin health, especially in bedfast clients. However, this assessment is not directly related to the administration of a laxative. It is more relevant to overall skin care and prevention of pressure sores.

Choice D reason: Evaluating the client’s ability to recognize the urge to defecate is important for understanding their bowel habits and potential issues with incontinence. However, it is not the primary assessment needed before administering a laxative. This assessment is more relevant to managing bowel training and incontinence.

A. Be aware that difficulty sleeping and weight loss may occur. B. Notify the healthcare provider if experiencing changes in taste. C. Administer each dose with at least 8 ounces of water. D. Consume tyramine-free foods while taking the medicine.

Correct Answer is A

Explanation

Choice A reason: Bupropion is known to cause side effects such as insomnia and weight loss. These side effects are due to its stimulant properties, which can interfere with sleep patterns and suppress appetite1. Patients should be informed about these potential side effects so they can monitor their symptoms and seek medical advice if necessary.

Choice B reason: While changes in taste can occur with some medications, it is not a common side effect of bupropion. Therefore, it is not necessary to specifically instruct patients to notify their healthcare provider about changes in taste when taking bupropion.

Choice C reason: There is no specific requirement to administer bupropion with 8 ounces of water. Bupropion can be taken with or without food, and the amount of water consumed with the medication does not impact its effectiveness.

Choice D reason: Consuming tyramine-free foods is crucial for patients taking monoamine oxidase inhibitors (MAOIs) due to the risk of hypertensive crisis. However, bupropion is not an MAOI, so this dietary restriction is not applicable.

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A client with cystitis receives a prescription for phenazopyridine. Which information should the nurse explain to the client about its therapeutic effect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Before administering a laxative to a bedfast client, it is most important for the nurse to perform which assessment?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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