A 22-year-old female patient seen in the clinic for a bladder ...

[asan beg]

A 22-year-old female patient seen in the clinic for a bladder infection describes the following symptoms. Which information is most important for the nurse to report to the health care provider?
 
  a. Urinary urgency
  b. Left-sided flank pain
  c. Intermittent hematuria
  d. Burning with urination

Question 2

A patient in the urology clinic is diagnosed with monilial urethritis. Which action will the nurse include in the plan of care?
 
  a. Teach the patient about the use of antifungal medications.
  b. Tell the patient to avoid tub baths until the symptoms resolve.
  c. Instruct the patient to refer recent sexual partners for treatment.
  d. Teach the patient to avoid nonsteroidal antiinflammatory drugs (NSAIDs).

[kishoreddi]

Answer to Question 1

ANS: B
Flank pain indicates that the patient may have developed pyelonephritis as a complication of the bladder infection. The other clinical manifestations are consistent with a lower urinary tract infection (UTI).

Answer to Question 2

ANS: A
Monilial urethritis is caused by a fungus and antifungal medications such as nystatin (Mycostatin) or fluconazole (Diflucan) are usually used as treatment. Because monilial urethritis is not sexually transmitted, there is no need to refer sexual partners. Warm baths and NSAIDS may be used to treat symptoms.