This topic contains a solution. Click here to go to the answer

Author Question: Which patient with a urinary tract infection will require hospitalization and intravenous ... (Read 64 times)

penguins

  • Hero Member
  • *****
  • Posts: 903
Which patient with a urinary tract infection will require hospitalization and intravenous antibiotics?
 
  a. A 5-year-old child with a fever of 100.5 F, dysuria, and bacteriuria
  b. A pregnant woman with bacteriuria, suprapubic pain, and fever
  c. A young man with dysuria, flank pain, and a previous urinary tract infection
  d. An older adult man with a low-grade fever, flank pain, and an indwelling catheter

Question 2

A pregnant patient with fever, flank pain, and chills has a history of two previous bladder infections before getting pregnant. She is allergic to several antibiotics. She reports having taken methenamine successfully in the past.
 
  What will the nurse tell her?
  a. This agent is not effective against infections of the upper urinary tract.
  b. This antiseptic agent is safe for use during pregnancy and has no drug resistance.
  c. This drug is linked to many serious birth defects and is not recommended during pregnancy.
  d. You will need to take this medication with meals to avoid gastric upset.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

SomethingSomething

  • Sr. Member
  • ****
  • Posts: 323
Answer to Question 1

ANS: D
The patient with an indwelling catheter and signs of pyelonephritis shows signs of a complicated UTI, which is best treated with intravenous antibiotics. The other three patients show signs of uncomplicated urinary tract infections that are not severe and can be treated with oral antibiotics.

Answer to Question 2

ANS: A
Methenamine is safe for use during pregnancy and would be an excellent choice for this patient if she had a lower urinary tract infection. However, it is not an effective agent for upper urinary tract infection, because it is a prodrug that must break down into ammonia and formaldehyde to be effective. There is not enough time for formaldehyde to form in the kidneys, so it is not effective in the upper tract. Nitrofurantoin is linked to serious birth defects and also must be given with food to prevent gastrointestinal problems.




penguins

  • Member
  • Posts: 903
Reply 2 on: Jul 23, 2018
YES! Correct, THANKS for helping me on my review


Missbam101

  • Member
  • Posts: 341
Reply 3 on: Yesterday
Gracias!

 

Did you know?

Only 12 hours after an egg cell is fertilized by a sperm cell, the egg cell starts to divide. As it continues to divide, it moves along the fallopian tube toward the uterus at about 1 inch per day.

Did you know?

According to the American College of Allergy, Asthma & Immunology, more than 50 million Americans have some kind of food allergy. Food allergies affect between 4 and 6% of children, and 4% of adults, according to the CDC. The most common food allergies include shellfish, peanuts, walnuts, fish, eggs, milk, and soy.

Did you know?

Automated pill dispensing systems have alarms to alert patients when the correct dosing time has arrived. Most systems work with many varieties of medications, so patients who are taking a variety of drugs can still be in control of their dose regimen.

Did you know?

Adults are resistant to the bacterium that causes Botulism. These bacteria thrive in honey – therefore, honey should never be given to infants since their immune systems are not yet resistant.

Did you know?

Oxytocin is recommended only for pregnancies that have a medical reason for inducing labor (such as eclampsia) and is not recommended for elective procedures or for making the birthing process more convenient.

For a complete list of videos, visit our video library