CMSRN Medical-Surgical Nursing

Category - Genitourinary

The physician orders a combination of sulfamethoxazole and phenazopyridine hydrochloride (Pyridium) for a client with acute pyelonephritis. Which therapeutic effect should this combination drug have?
  1. Pain relief and a decreased WBC count
  2. Equal fluid intake and output
  3. Polyuria with reddish stain
  4. Increased complaints of bladder spasm after 20 minutes
Explanation
Answer - A - Pain relief and a decreased WBC count. Sulfamethoxazole is a sulfonamide antibiotic used to treat infection. Naturally, when infection has been treated, WBC count will go down to normal. Phenazopyridine hydrochloride (Pyridium) is used to relieve pain, burning, urgency, and frequency of urination caused by irritation of the urinary tract by the infection. The medication is effective when the client indicates that he/she no longer feels difficulty or pain during urination.
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