Medical Surgical UTI & Pyelonephritis #10

Question

A client calls the nurse and reports urgency and dysuria after four days of taking a friend’s antibiotic. The nurse instructs the client to come to the office and explains the reason in which statement?

Answers

  1. “Now you have ruined any chance for a correct culture report.”
    • Rationale:

      This answer is not correct because scolding the client by telling them they have ruined the chance for a culture report is demeaning and not helpful. This could cause the client not to come to the clinic for help.

  2. “Keep taking the medication as it may take awhile to kill the bacteria.”
    • Rationale:

      This answer is not correct because the client should not keep taking the friend’s antibiotic as it probably is not effective against the type of organism. It is not a safe practice to take another person’s antibiotics.

  3. “Unless your friend’s prescription was Bactrim, your condition will not improve.”
    • Rationale:

      This answer is not correct because trimethoprim/sulfamethoxazole (Bactrim, Septra) are sometimes effective; however, other antibiotics may be more effective depending on the sensitivity of the antibiotic with the organism causing the infection.

  4. “A urine sample is needed to help the provider prescribe the correct medication.”
    • Rationale:

      This answer is correct because in order to resolve the client’s symptoms of dysuria and urgency, it is essential for the client to provide a urine sample for urinalysis and culture and sensitivity. This allows an appropriate antibiotic to be prescribed which will resolve the client’s symptoms which are indicative of a UTI.

Overview

Urgency and dysuria are symptoms indicative of a urinary tract infection (UTI). It is not a safe practice to take another person’s antibiotics.

Explanation

Learning Outcomes

It is not a safe practice to take another person’s antibiotics. The client needs to have a urinalysis and culture and sensitivity performed to determine the type of specific microbe that is causing the UTI. Once this is established, an antimicrobial agent can be prescribed for effective resolution of the UTI. Therefore, the best instruction to the client from the nurse is, “A urine sample is needed to help the provider prescribe the correct medication.”

Test Taking Tip

Consider therapeutic communication techniques and the client’s symptoms (which are indicative of a UTI) to answer this question correctly.

Video Rationale