The nurse is caring for a hospitalized patient who has symptoms ...

[oliviahorn72]

The nurse is caring for a hospitalized patient who has symptoms characteristic of pyelonephritis. Before administering the first dose of the intravenous antibiotic, the nurse will ensure that which action is performed?
 
  a. An antipyretic is administered.
  b. A dose of oral antibiotic is given.
  c. A urinary analgesic is given.
  d. A urine culture is obtained.

Question 2

The nurse is caring for a patient who is diagnosed with a urinary tract infection. The patient reports always having difficulty remembering to take medications. Which drug will the nurse expect the provider to select when treating this patient?
 
  a. Fosfomycin tromethamine (Monurol)
  b. Nalidixic acid (NegGram)
  c. Nitrofurantoin (Macrodantin)
  d. Trimethoprim-sulfamethoxazole (Bactrim)

[mohan]

Answer to Question 1

ANS: D
A urinalysis, as well as a culture and sensitivity, is usually performed before initiating drug therapy. An antipyretic is indicated for fever but does not need to be timed before the antibiotic. An oral antibiotic is not indicated. A urinary analgesic is given as needed.

Answer to Question 2

ANS: A
Fosfomycin is given as a one-time, single dose. Nalidixic acid is given 4 times daily for 1 to 2 weeks. Nitrofurantoin is given 4 times daily. Trimethoprim-sulfamethoxazole is given twice daily.

[oliviahorn72]

TYSM

[dantucker]

Excellent