The nurse is preparing to administer a single-dose packet of fosfomycin to a patient diagnosed with a UTI. When preparing this medication, the nurse will:
mix with 3 mL of normal saline and inject subcutaneously.
mix contents with 90-120 mL of water and administer by mouth.
pour contents into a soufflé cup and administer by mouth.
pour contents into 60 mL of juice, stir, and administer by mouth.
Decreasing glomerular filtrations
The Correct Answer is B
A. Mix with 3 mL of normal saline and inject subcutaneously: Fosfomycin is not administered subcutaneously; it is an oral medication.
B. Mix contents with 90-120 mL of water and administer by mouth: Fosfomycin is supplied as a powder that must be mixed with water before oral administration.
C. Pour contents into a soufflé cup and administer by mouth: The medication must be dissolved in water to ensure proper absorption.
D. Pour contents into 60 mL of juice, stir, and administer by mouth: Mixing with juice is not recommended as it may alter the medication's effectiveness.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Urinary calculi, probably located in the ureter: Ureteral stones may cause flank pain or hematuria, but symptoms like urgency and cloudy urine are more indicative of infection.
B. Cystitis, probably from bacterial contamination: The symptoms of urgency, frequency, suprapubic pain, and dark, cloudy urine strongly suggest bacterial cystitis (UTI).
C. Kidney infection, most likely pyelonephritis: Pyelonephritis typically presents with systemic symptoms such as fever, chills, and flank pain, which are not described here.
D. Interstitial cystitis (although rare in a male patient): Interstitial cystitis is a chronic condition that is not usually associated with cloudy urine or bacterial contamination.
Correct Answer is D
Explanation
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).
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