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.