A patient is complaining of moderate bladder pain and spasms ...

[lidoalex]

A patient is complaining of moderate bladder pain and spasms secondary to a UTI. Which drug would assist in relieving symptoms?
 
  a. Tolterodine (Detrol)
  b. Nitrofurantoin (Furadantin)
  c. Phenazopyridine hydrochloride (Pyridium)
  d. Oxybutynin chloride (Ditropan)

Question 2

A 42-year-old woman is admitted with complaints of dysuria, frequency, and lower back pain. The urinalysis report is positive for red blood cells, and the blood work shows an elevated white blood cell count.
 
  Which medication will the nurse anticipate that the health care provider will order?
  a. Meperidine (Demerol)
  b. Bethanechol chloride (Urecholine)
  c. Ciprofloxacin (Cipro)
  d. Metronidazole (Flagyl)

[batool]

Answer to Question 1

ANS: C
Phenazopyridine relieves burning pain, urgency, and frequency associated with UTIs. Tolterodine is given for treatment of overactive bladder (OAB). Nitrofurantoin is given for treatment of UTIs but does not treat bladder pain or spasms. Oxybutynin is given for treatment of OAB.

Answer to Question 2

ANS: C
Dysuria, frequency, lower back pain, hematuria, and leukocytosis are indicators of a UTI. A variety of antimicrobial agents, including ciprofloxacin, are used to treat UTIs. Meperidine masks symptoms of pain that could lead to a more specific diagnosis and will not treat the underlying problem. Bethanechol is given for treatment of nonobstructive urinary retention. Metronidazole is given for treatment of vaginal infections.