Why is the nurse obtaining a urine sample for culture and sensitivity?

To measure the pH level of the urine

To check for the presence of blood in the urine

To assess kidney function

To determine the specific bacteria causing the infection

Answer and Explanation

The Correct Answer is D

A. To measure the pH level of the urine: Urine pH can be useful in certain conditions but is not the primary reason for culture and sensitivity.

B. To check for the presence of blood in the urine: Although blood may be present in urine during a UTI, this is not the primary reason for obtaining a culture and sensitivity.

C. To assess kidney function: While kidney function may be assessed via other tests, culture and sensitivity focus on identifying the causative bacteria in a UTI.

D. To determine the specific bacteria causing the infection: A urine culture and sensitivity test helps identify the specific bacteria causing the UTI and determine the most effective antibiotic treatment.

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Correct Answer is ["A","C","F"]

Explanation

A. Checking for abdominal tenderness: Abdominal tenderness can be an indication of an underlying infection or other complications associated with recurrent UTIs.

B. Monitoring for signs of jaundice: Jaundice is not typically associated with recurrent UTIs unless there is liver involvement or severe infection.

C. Obtaining a urine culture: A urine culture is essential to identify the pathogen causing the UTI and guide appropriate antibiotic treatment.

D. Assessing for potential sexual abuse: While important in certain cases, it is not the first priority unless there are signs or history suggesting it.

E. Assessing the child's sleep patterns: Sleep patterns are generally not a primary focus in assessing recurrent UTIs.

F. Assessing for congenital structural abnormalities: Recurrent UTIs in children may indicate underlying structural abnormalities in the urinary tract that need to be assessed.

G. Evaluating the child's bowel movement frequency: Bowel habits can impact urinary tract health, but it is not the top priority in the initial assessment of recurrent UTIs.

A. Risk for impaired urinary elimination B. Risk for alteration in body image C. Risk for alteration in bowel elimination D. Risk for altered comfort: dry mouth

Correct Answer is D

Explanation

A. Risk for impaired urinary elimination: Oxybutynin is used to treat urinary urgency, so it is unlikely to impair urinary elimination and may even improve it.

B. Risk for alteration in body image: There is no direct association between oxybutynin use and body image concerns.

C. Risk for alteration in bowel elimination: Oxybutynin can cause constipation, but this is not the highest priority compared to dry mouth.

D. Risk for altered comfort: dry mouth: Dry mouth is a common and bothersome side effect of oxybutynin, making comfort the highest priority concern.

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Why is the nurse obtaining a urine sample for culture and sensitivity?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse priority assessment for a child with recurrent UTI will include: (Select All that Apply.)

Correct Answer is ["A","C","F"]

Explanation

What is the highest priority nursing diagnosis for a client with a history of urinary urgency who is taking oxybutynin (Ditropan)?

Correct Answer is D

Explanation

Which action should a nurse recommend to a patient experiencing dry mouth as a side effect of a urinary antispasmodic medication?

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?

Fluoroquinolones, such as norfloxacin, are commonly prescribed antibiotics given to treat which of the following?

A client diagnosed with a urinary tract infection (UTI) asks the nurse about how to prevent another infection. Which statement by the client indicates effective teaching by the nurse?

The nurse should advise clients taking phenazopyridine that they may notice a change in urine color. Which color would the nurse identify?

A client is taking oxybutynin for overactive bladder and haloperidol (Haldol) for antipsychotic treatment. What possible side effect should the nurse monitor for due to the interaction of these medications?

Which of the following is an important teaching point for a patient prescribed oxybutynin?

A client comes to the clinic with reports of dysuria and frequency. The nurse practitioner suspects that the client is experiencing a UTI. Which laboratory testing would be most important?