A 42-year-old woman is admitted with complaints of dysuria, frequency, and lower back pain. The urinalysis report is positive for red blood cells, and the blood work shows an elevated white blood cell count
Which medication will the nurse anticipate that the health care provider will order?
a. Meperidine (Demerol)
b. Bethanechol chloride (Urecholine)
c. Ciprofloxacin (Cipro)
d. Metronidazole (Flagyl)
ANS: C
Dysuria, frequency, lower back pain, hematuria, and leukocytosis are indicators of a UTI. A variety of antimicrobial agents, including ciprofloxacin, are used to treat UTIs. Meperidine masks symptoms of pain that could lead to a more specific diagnosis and will not treat the underlying problem. Bethanechol is given for treatment of nonobstructive urinary retention. Metronidazole is given for treatment of vaginal infections.
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