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

Calms spasm in the urinary tract.

Provides an analgesic effect for irritated bladder mucosa.

Eliminates urinary bacteria.

Use the medication after voiding after sexual intercourse.

Answer and Explanation

The Correct Answer is B

A) Calms spasm in the urinary tract: This statement is incorrect. Phenazopyridine primarily provides analgesic (pain-relieving) effects for the urinary tract but does not directly affect muscle spasms.

B) Provides an analgesic effect for irritated bladder mucosa: This is the correct response. Phenazopyridine is a urinary tract analgesic that acts locally to relieve pain, burning, and discomfort caused by irritation of the bladder mucosa. It does not treat the underlying infection but helps alleviate symptoms.

C) Eliminates urinary bacteria: This statement is incorrect. Phenazopyridine does not have antibacterial properties and does not eliminate urinary bacteria. Antibiotics are typically prescribed to treat urinary tract infections by targeting bacterial growth.

D) Use the medication after voiding after sexual intercourse: This statement is incorrect. While voiding after sexual intercourse can help reduce the risk of urinary tract infections (UTIs), phenazopyridine is not specifically indicated for this purpose. It is used primarily for symptom relief in cases of cystitis or other urinary tract irritations.

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Correct Answer is B

Explanation

A) A serum creatinine level of 1.0 mg/dL falls within the reference range (0.5 to 1.1 mg/dL) and does not indicate immediate action by the nurse. Creatinine levels within the reference range suggest normal kidney function.

B) A platelet count of 100,000/mm3 (100 x 10^9/L) is below the lower limit of the reference range (150,000 to 400,000/mm3). Thrombocytopenia, or low platelet count, increases the risk of bleeding complications, especially when administering anticoagulants like enoxaparin. Therefore, a platelet count of 100,000/mm3 requires immediate action by the nurse to assess for bleeding and notify the healthcare provider.

C) A hematocrit of 45% (0.45 volume fraction) falls within the reference range (42% to 52%) and does not indicate immediate action by the nurse.

D) A blood urea nitrogen (BUN) level of 20 mg/dL (7.1 mmol/L) falls within the reference range (10 to 20 mg/dl) and does not indicate immediate action by the nurse.

A. Hold the dose and notify the pharmacy to stop dispensing the next premixed doses. B. Hold the dose and notify the healthcare provider of the changes in the laboratory studies. C. Begin the infusion and monitor the client's bl’od urea nitrogen (BUN), serum creatinine, and liver function tests. D. Begin the infusion and submit a drug reaction report to the nursing supervisor.

Correct Answer is B

Explanation

A) Hold the dose and notify the pharmacy to stop dispensing the next premixed doses: This action may prevent further administration of fluconazole, but it does not address the underlying concern of rising liver enzyme levels. Holding the dose and notifying the healthcare provider directly would be more appropriate.

B) Hold the dose and notify the healthcare provider of the changes in the laboratory studies: This is the correct response. RisIng liver enzyme levels, indIcated by an increasing trend in aspartate aminotransferase (AST), suggest potential liver dysfunction or damage, which can be a serious adverse effect of fluconazole. The nurse should hold the dose and promptly inform the healthcare provider for further evaluation and management.

C) Begin the infusion and monitor the client's bl’od urea nitrogen (BUN), serum creatinine, and liver function tests: Initiating the infusion without addressing the rising liver enzyme levels could potentially worsen liver function. It is essential to hold the dose and inform the healthcare provider before proceeding with further administration.

D) Begin the infusion and submit a drug reaction report to the nursing supervisor: While it's im’ortant to document adverse reactions and submit reports as appropriate, the priority in this situation is to hold the dose and notify the healthcare provider to address the rising liver enzyme levels.

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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?

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

The nurse is administering IV fluconazole to a client who has systemic candidiasis. After reviewing the client's di’gnostic studies, the nurse identifies a rising trend in the liver enzyme levels for aspartate aminotransferase (AST). Which action should the nurse implement?

Correct Answer is B

Explanation

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