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Chapter 41: Drugs Used to Treat Disorders of the Urinary System
Test Bank
MULTIPLE CHOICE
1. What is the action of urinary antimicrobial agents?
a. Reduce pain associated with bladder spasms caused by the infection
b. Enhance output enough to flush out the infection from the urinary tract
c. Eliminate urinary retention
d. Have an antiseptic effect on the urine and the urinary tract
ANS: D
Urinary antimicrobial agents have an antiseptic effect on the urine and the urinary tract.
Pyridium reduces pain associated with bladder spasms related to urinary tract infection (UTI).
Antimicrobial agents do not enhance output or eliminate urinary retention.
DIF: Cognitive Level: Comprehension REF: pp. 669-670 OBJ: 1
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity
2. A patient is complaining of moderate bladder pain and spasms secondary to a UTI. Which
drug would assist in relieving symptoms?
a. Tolterodine (Detrol)
b. Nitrofurantoin (Furadantin)
c. Phenazopyridine hydrochloride (Pyridium)
d. Oxybutynin chloride (Ditropan)
ANS: C
Phenazopyridine relieves burning pain, urgency, and frequency associated with UTIs.
Tolterodine is given for treatment of overactive bladder (OAB). Nitrofurantoin is given for
treatment of UTIs, but does not treat bladder pain or spasms. Oxybutynin is given for
treatment of OAB.
DIF: Cognitive Level: Comprehension REF: p. 676 OBJ: 5
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity
3. A 42-year-old woman is admitted with complaints of dysuria, frequency, and lower back pain.
The urinalysis report is positive for red blood cells, and the blood work shows an elevated
white blood cell count. Which medication will the nurse anticipate that the health care
provider will order?
a. Meperidine (Demerol)
b. Bethanechol chloride (Urecholine)
c. Ciprofloxacin (Cipro)
d. Metronidazole (Flagyl)
ANS: C
Dysuria, frequency, lower back pain, hematuria, and leukocytosis are indicators of a UTI. A
variety of antimicrobial agents, including ciprofloxacin, are used to treat UTIs. Meperidine
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masks symptoms of pain that could lead to a more specific diagnosis and will not treat the
underlying problem. Bethanechol is given for treatment of nonobstructive urinary retention.
Metronidazole is given for treatment of vaginal infections.
DIF: Cognitive Level: Application REF: p. 669 OBJ: 1
TOP: Nursing Process Step: Evaluation
MSC: NCLEX Client Needs Category: Physiological Integrity
4. How often is fosfomycin (Monurol) usually administered when used in the treatment of
UTIs? a. In a one-time dose
b. Once per day
c. Once per week
d. Monthly
ANS: A
Fosfomycin is the first antibiotic to be approved for administration in a single treatment dose
for the treatment of UTIs. Fosfomycin is used to treat females with uncomplicated acute
cystitis caused by susceptible strains of Escherichia coli and Enterococcus faecalis. Fosfomycin
is not used in the treatment of kidney infections.
DIF: Cognitive Level: Knowledge REF: p. 670 OBJ: 1
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Safe, Effective Care Environment
5. After undergoing prostate surgery, a patient is discharged on the medication
phenazopyridine hydrochloride (Pyridium) to assist with urinary catheter discomfort. What
information will the nurse include in the discharge teaching?
a. Urine will have a foul smell while taking this medication.
b. Diarrhea and abdominal cramping are expected adverse effects.
c. The sclera of the eye is yellow while on therapy.
d. Urine will appear reddish orange.
ANS: D
Phenazopyridine hydrochloride is used to produce a local anesthetic effect on the mucosa of
the ureters and bladder. Patients should be instructed that phenazopyridine causes urine to
become reddish orange, which is not a cause for alarm. Other secretions may also be reddish
orange and contact lenses may become stained. Phenazopyridine does not cause a foul odor
in the urine. Diarrhea is not a common adverse effect of phenazopyridine. Icterus is a sign of
hepatic damage and should be reported to the health care provider.
DIF: Cognitive Level: Application REF: p. 676 OBJ: 3
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
6. A 14-year-old male is taking tolterodine (Detrol). What is the action of this drug?
a. Restores bladder tone and function
b. Decreases the urge to void
c. Prevents urinary retention
d. Acidifies urine
ANS: B
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Chapter 41: Drugs Used to Treat Disorders of the Urinary System
Test Bank
MULTIPLE CHOICE
1. What is the action of urinary antimicrobial agents?
a. Reduce pain associated with bladder spasms caused by the infection
b. Enhance output enough to flush out the infection from the urinary tract
c. Eliminate urinary retention
d. Have an antiseptic effect on the urine and the urinary tract
ANS: D
Urinary antimicrobial agents have an antiseptic effect on the urine and the urinary tract.
Pyridium reduces pain associated with bladder spasms related to urinary tract infection (UTI).
Antimicrobial agents do not enhance output or eliminate urinary retention.
DIF: Cognitive Level: Comprehension REF: pp. 669-670 OBJ: 1
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity
2. A patient is complaining of moderate bladder pain and spasms secondary to a UTI. Which
drug would assist in relieving symptoms?
a. Tolterodine (Detrol)
b. Nitrofurantoin (Furadantin)
c. Phenazopyridine hydrochloride (Pyridium)
d. Oxybutynin chloride (Ditropan)
ANS: C
Phenazopyridine relieves burning pain, urgency, and frequency associated with UTIs.
Tolterodine is given for treatment of overactive bladder (OAB). Nitrofurantoin is given for
treatment of UTIs, but does not treat bladder pain or spasms. Oxybutynin is given for
treatment of OAB.
DIF: Cognitive Level: Comprehension REF: p. 676 OBJ: 5
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity
3. A 42-year-old woman is admitted with complaints of dysuria, frequency, and lower back pain.
The urinalysis report is positive for red blood cells, and the blood work shows an elevated
white blood cell count. Which medication will the nurse anticipate that the health care
provider will order?
a. Meperidine (Demerol)
b. Bethanechol chloride (Urecholine)
c. Ciprofloxacin (Cipro)
d. Metronidazole (Flagyl)
ANS: C
Dysuria, frequency, lower back pain, hematuria, and leukocytosis are indicators of a UTI. A
variety of antimicrobial agents, including ciprofloxacin, are used to treat UTIs. Meperidine
This study source was downloaded by 100000761823232 from CourseHero.com on 04-12-2021 18:21:56 GMT -05:00
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masks symptoms of pain that could lead to a more specific diagnosis and will not treat the
underlying problem. Bethanechol is given for treatment of nonobstructive urinary retention.
Metronidazole is given for treatment of vaginal infections.
DIF: Cognitive Level: Application REF: p. 669 OBJ: 1
TOP: Nursing Process Step: Evaluation
MSC: NCLEX Client Needs Category: Physiological Integrity
4. How often is fosfomycin (Monurol) usually administered when used in the treatment of
UTIs? a. In a one-time dose
b. Once per day
c. Once per week
d. Monthly
ANS: A
Fosfomycin is the first antibiotic to be approved for administration in a single treatment dose
for the treatment of UTIs. Fosfomycin is used to treat females with uncomplicated acute
cystitis caused by susceptible strains of Escherichia coli and Enterococcus faecalis. Fosfomycin
is not used in the treatment of kidney infections.
DIF: Cognitive Level: Knowledge REF: p. 670 OBJ: 1
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Safe, Effective Care Environment
5. After undergoing prostate surgery, a patient is discharged on the medication
phenazopyridine hydrochloride (Pyridium) to assist with urinary catheter discomfort. What
information will the nurse include in the discharge teaching?
a. Urine will have a foul smell while taking this medication.
b. Diarrhea and abdominal cramping are expected adverse effects.
c. The sclera of the eye is yellow while on therapy.
d. Urine will appear reddish orange.
ANS: D
Phenazopyridine hydrochloride is used to produce a local anesthetic effect on the mucosa of
the ureters and bladder. Patients should be instructed that phenazopyridine causes urine to
become reddish orange, which is not a cause for alarm. Other secretions may also be reddish
orange and contact lenses may become stained. Phenazopyridine does not cause a foul odor
in the urine. Diarrhea is not a common adverse effect of phenazopyridine. Icterus is a sign of
hepatic damage and should be reported to the health care provider.
DIF: Cognitive Level: Application REF: p. 676 OBJ: 3
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Health Promotion and Maintenance
6. A 14-year-old male is taking tolterodine (Detrol). What is the action of this drug?
a. Restores bladder tone and function
b. Decreases the urge to void
c. Prevents urinary retention
d. Acidifies urine
ANS: B
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