Medical-surgical Nursing Demystified

(Sean Pound) #1

CHAPTER 9 Genitourinary System^393



  • Dysuria due to irritation of mucosal lining

  • Feeling of fullness in suprapubic area

  • Low back pain


INTERPRETING TEST RESULTS



  • Urinalysis shows leukocytes, nitrites, and red blood cells.

  • Urine culture and sensitivity indicates the infecting organism and the appro-
    priate antibiotic to treat the infection.


TREATMENT



  • Administer antibiotics:

    • nitrofurantoin

    • ciprofloxacin

    • levofloxacin

    • ofloxacin

    • trimethoprim-sulfamethoxazole

    • ampicillin

    • amoxicillin



  • Encourage fluids, to make urine less concentrated.

  • Administer phenazopyridine for symptoms of dysuria.

  • Repeat urine testing after antibiotics are completed.


NURSING DIAGNOSIS



  • Risk of impaired urinary elimination

  • Risk of urge urinary incontinence


NURSING INTERVENTIONS



  • Monitor intake and output.

  • Monitor vital signs for changes, signs of fever.

  • Encourage fluid intake.

  • Encourage cranberry juice to acidify urine.

  • Teach patient that phenazopyridine will cause orange-colored urine.

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