Medical Surgical UTI & Pyelonephritis #2

Question

A client visits the clinic with symptoms of cystitis and receives a prescription for phenazopyridine hydrochloride. After providing instructions on the medication, the nurse determines the client requires more teaching because of which statement?

Answers

  1. “I will drink fluids and add cranberry juice daily.”
    • Rationale:

      This answer is not correct because the client should drink plenty of fluids and cranberry juice is beneficial to maintain acid pH; therefore, this client statement indicates a correct understanding of the information presented to the client.

  2. “I know that my urine may turn bright orange-red and may stain my underwear.”
    • Rationale:

      This answer is not correct because pyridium is an azo dye that is excreted in the urine thus it may cause the client to experience bright orange-red urine that may stain underwear; therefore, this client statement indicates a correct understanding of the information presented to the client.

  3. “I will take warm tub or sitz baths to help relieve urgency, discomfort, and spasms.”
    • Rationale:

      This answer is not correct because warm sitz or tub baths also help relieve discomfort; therefore, this client statement indicates a correct understanding of the information presented to the client.

  4. “Thank you for the drug that I heard kills all bacteria which is why pain eases.”
    • Rationale:

      This answer is correct because phenazopyridine hydrochloride is prescribed for symptom management related to the dysuria that occurs with UTIs. The medication is not prescribed to treat the bacterial source of the UTI; therefore, this client statement indicates a need for additional teaching from the nurse.

Overview

Phenazopyridine hydrochloride (Pyridium) is a urinary analgesic that works on the bladder mucosa to relieve dysuria (i.e., painful or difficult urination). It is an azo dye that is excreted in the urine.

Explanation

Learning Outcomes

Phenazopyridine hydrochloride is prescribed to the client who is diagnosed with a UTI for symptom management. It is an azo dye that is excreted in the urine. In addition to this medication, the client will also be prescribed antibacterial therapy to treat the source of the bacteria infection. Therefore, the client statement, “Thank you for the drug that I heard kills all bacteria which is why pain eases” requires additional teaching as this is the reason the phenazopyridine hydrochloride is prescribed.

Test Taking Tip

Consider the mechanism of action for the prescribed medication to determine which client statement requires additional teaching from the nurse.

Video Rationale