The nurse is conducting an assessment on a client with hematuria. ...

[Jipu 123]

The nurse is conducting an assessment on a client with hematuria. In order to determine whether the problem might be infection or some other disease, such as cancer, the nurse should ask the client about:
 
  1. signs of urgency.
  2. the presence of pain
  3. nighttime voiding
  4. incontinence

Question 2

A client with a urinary tract infection (UTI) is to start on the antibiotic sulfisoxazole (Gantrisin). Before administering the medication, the nurse assesses for allergies and other medications that the client is taking.
 
  The nurse should withhold the Gantrisin and notify the physician if the client is taking which drug?
 
  1. Antihistamines
  2. Other antibiotics
  3. Blood thinners
  4. Antacids

[leeeep]

Answer to Question 1

Answer: 2

1. Urgency is a sign of overactive detrusor muscle, and there is no hematuria.
2. One of the first signs of cancer of the bladder is painless hematuria. The nurse needs to ask the client whether there is any pain when the client has hematuria.
3. Getting up at night is seen in clients with hyperglycemia and clients with urinary retention.
4. Stress incontinence does not involve hematuria, and is due to malfunction of parts of the urinary tract.

Answer to Question 2

Answer: 3

1. Antihistamines are not contraindicated with Gantrisin.
2. The nurse might want to check with the doctor if other antibiotics are being taken, but it would not be a big concern for the nurse.
3. The sulfonamides can cause bleeding. Any client taking nonsteroidal anti-inflammatory drugs (NSAIDs), aspirin, or blood-thinning agents should not take this antibiotic.
4. Gantrisin should be taken on an empty stomach, but antacids could be taken 2 hours after administration of the Gantrisin.

[Jipu 123]

Excellent

[T4T]

TYSM