Author Question: The nurse is preparing to administer methenamine (Hiprex) to a patient who has pyelonephritis. Which ... (Read 35 times)

panfilo · **on:** Jul 23, 2018

The nurse is preparing to administer methenamine (Hiprex) to a patient who has pyelonephritis. Which action will the nurse perform?

a. Increase fluid intake to 2000 mL per day.
b. Monitor the patient's urine for dark brown color.
c. Order alkaline foods 3 times daily.
d. Request an order for a sulfonamide antibiotic.

Question 2

The nurse provides teaching for a patient who will begin taking nitrofurantoin (Macrodantin) to treat a urinary tract infection. Which statement by the patient indicates understanding of the teaching?

a. If I experience gastrointestinal upset, I may take an antacid.
b. I should notify my provider immediately if my urine is brown.
c. I should take the drug with food and increase my fluid intake.
d. Tingling of my fingers is a harmless side effect of this drug.

Yixagurpuldink · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: A
Patients who take methenamine can develop crystalluria and should increase fluid intake to prevent this effect. A reddish-brown color is a harmless side effect. Patients should have acidic urine, not alkaline urine. Methenamine taken with sulfonamides increases the risk of crystalluria.

Answer to Question 2

ANS: C
Patients taking nitrofurantoin should take the drug with foods and increase fluid intake. The drug should not be taken with antacids. Brown urine is a harmless side effect. Tingling of extremities can indicate neuropathy.