Chapter 52- Drugs Affecting the Urinary Tract and the Bladder

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1. The clinic nurse is admitting a 39-year-old woman who has come to the clinic complaining of left-sided tenderness, fever, chills, and flank pain. What does the nurse suspect the patient has? A) Cy... stitis B) Kidney stones C) Neurogenic bladder D) Pyelonephritis Ans: D Feedback: The fever and chills indicate an inflammatory process. Flank pain and left-sided tenderness indicate kidney swelling within the capsule. These symptoms indicate pyelonephritis. Kidney stones cause intense pain; fever and chills would not be present. Cystitis and neurogenic bladder present with bladder-related symptoms such as frequency, urgency, burning, and bloating. 2. The nurse is caring for four patients. Which patient would flavoxate (Urispas), a urinary tract medication, be indicated for? A) A 1-year-old girl B) A 6-year-old boy C) A 10-year-old boy D) A 14-year-old girl Ans: D Feedback: Flavoxate prevents smooth muscle spasm in the urinary tract and can be given to children older than 12 years of age. Oxybutynin and phenazopyridine may be given to children 6 years old and older. Guidelines for use of an antispasmodic for a child younger than 6 have not been established. [Show More]

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