Page 1855 - Saunders Comprehensive Review For NCLEX-RN

6. Note that if the client is prescribed an aminoglycoside,
sulfonamide, or nitrofurantoin, the actions of these
medications are decreased by acidic urine.
7. Use sterile technique when inserting a urinary
catheter.
8. Provide meticulous perineal care for the client with an
indwelling catheter.
9. Discourage caffeine products such as coffee, tea, and
cola.

10. Client education

a. Avoid alcohol.
b. Take medications as prescribed.
c. Take antibiotics on schedule and
complete the entire course of
medications as prescribed, which may
be 10 to 14 days.
d. Repeat the urine culture following
treatment.
e. Prevent recurrence of cystitis (Box 54-
12).
XIII. Urethritis
A. Description
1. Inflammation of the urethra commonly associated
with a sexually transmitted infection (STI); may occur
with cystitis.
2. In men, urethritis most often is caused by gonorrhea
or chlamydial infection.
3. In women, urethritis most often is caused by feminine
hygiene sprays, perfumed toilet paper or sanitary
napkins, spermicidal jelly, UTI, or changes in the
vaginal mucosal lining.
B. Assessment
1. Pain or burning on urination
2. Frequency and urgency
3. Nocturia
4. Difficulty voiding
5. Males may have clear to mucopurulent discharge from
the penis.
6. Females may have lower abdominal discomfort.
C. Interventions
1. Encourage fluid intake.
2. Prepare the client for testing to determine whether an
STI is present.
3. Administer antibiotics as prescribed.
4. Instruct the client in the administration of sitz or tub
baths.
5. If stricture occurs, prepare the client for dilation of the

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