A nurse is providing education to a patient being treated with sulfamethoxazole-trimethoprim (Bactrim) and phenazopyridine (Pyridium) for a urinary tract infection. Which of the following statements by the patient indicates an understanding of the teaching?
"I should drink 1 to 2 glasses of fluid a day to help flush the bacteria out."
"My medication may discolor my urine, this should resolve once the medication is stopped."
"I should stop taking my medications once symptoms have resolved."
"These medications are given to treat fungal infections."
The Correct Answer is B
A. The patient should increase fluid intake to 6 to 8 glasses of water daily, not 1 to 2 glasses, to help flush bacteria out of the urinary tract.
B. Phenazopyridine (Pyridium) can cause orange or red discoloration of urine, which is a harmless and temporary side effect that resolves after the medication is stopped. This indicates the patient understands the teaching.
C. Stopping medications prematurely can lead to incomplete treatment of the infection and potential antibiotic resistance. Patients should complete the full course of prescribed antibiotics.
D. Sulfamethoxazole-trimethoprim (Bactrim) is an antibacterial, and phenazopyridine is a urinary analgesic; neither medication is used to treat fungal infections.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["44"]
Explanation
Calculate the flow rate in mL/hour: 400 mL / 3 hours = 133.33 mL/hour (approximately)
Convert the flow rate to mL/minute: 133.33 mL/hour / 60 minutes/hour = 2.22 mL/minute (approximately)
Calculate the drops per minute: 2.22 mL/minute 20 gtt/mL = 44.4 gtt/minute
Round to the nearest whole number: 44 gtt/minute
Correct Answer is B
Explanation
A. Removing and applying the fixator for showers is not appropriate. The external fixator should not be removed by the nurse without proper medical guidance. Showers should be managed in a way that prevents the fixator from becoming wet or contaminated.
B. Documenting pin site assessment and care is essential for clients with external fixation. The nurse should regularly assess pin sites for signs of infection (e.g., redness, swelling, drainage) and ensure proper care is provided to prevent complications.
C. Encouraging the patient to lie prone several times per day may not be necessary or appropriate unless specifically ordered by the provider. The patient’s positioning should be based on comfort and the provider’s instructions to avoid strain on the injured limb.
D. Turning the patient every 3 hours is a general nursing practice for preventing pressure ulcers, but it is not specific to the care of a client with external fixation. The focus should be on protecting the fixator and ensuring the limb is properly supported.
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