NR 507 WEEK 5 GERD AND
GASTROINTESTINAL ALTERATIONS
COMPREHENSIVE COURSE REVIEW
◉ Which of the following is a risk factor for the development of a
urinary tract infection (UTI)?
Answer: Pregnancy
◉ A symptom of a lower urinary tract infection includes:
Answer: urgency
◉ Women are at a higher risk for the development of a UTI because
of having a shorter urethra.
Answer: true
◉ Which of the following can help to prevent a UTI?
Answer: Increase water consumption
◉ Uncomplicated UTI
Answer: Occurs in the normal urinary tract
Responds well to short course of antibiotic therapy
,Simple cystitis in non-pregnant women without any urologic
abnormalities
◉ Complicated UTI
Answer: UTI extends beyond the bladder
Caused by structural or functional urinary tract abnormalities or
untreated UTI
Infants and older adults affected
Associated with: indwelling catheters, renal calculi, diabetes,
pregnancy
◉ A 25 year- old female presents to the primary care office with
urinary burning and frequency for the last 3 days. She denies any
fever, chills, back pain. Her gynecological history is negative and
reports no vaginal discharge. The only new information reported is
that she recently had sexual intercourse with a new male partner.
The NP obtains a urinalysis and determines that the urine contains
leukocytes, RBCs, nitrites, and WBCs. No casts are identified. Based
on symptom presentation and UA results, the patient can be
diagnosed with:
Answer: cystitis
◉ J.S. is an 80 -year-old patient who resides in a local nursing home.
He recently became confused and then fell while ambulating to the
bathroom three days ago. Because of his confusion and fall, he was
,transferred to the acute care facility for evaluation and treatment.
Lab work revealed that the patient was very dehydrated with
hypernatremia identified and appropriate intravenous fluids started.
Cystitis was also identified from the urinalysis. He was also noted to
have red and excoriated skin between the buttocks and inner thighs
due to urinary frequency and dribbling. To help with skin healing
and to prevent further urine leakage, an indwelling catheter was
inserted. Two days after the catheter was placed, the patient spiked
a fever of 102 degrees Fahrenheit associated with shaking chills. An
intense, foul odor was noted in the urine. On examination of the
flank area, the patient yelled out when touched. A urine c
Answer: pyelonephritis
◉ Identify the major risk factor J.S. has that is associated with
pyelonephritis:
Answer: indwelling foley catheter
◉ The urinalysis of a patient with a complicated UTI will show
WBCs and casts
Answer: true
◉ Upon examination of a urinalysis, the NP can highly suspect that
the causative bacteria are gram negative because of the presence of:
Answer: nitrites
, ◉ A 21-year-old patient reports to the primary care clinic
complaining of urinary urgency, frequency and burning. She also
reports a small amount of vaginal discharge that contains an odor. It
is likely that the NP will perform a vaginal exam at this visit.
Answer: true
◉ The NP would know that the patient most likely has an
uncomplicated UTI because:
Answer: The UTI responds well to a short course of antibiotic
therapy.
◉ A common organism that causes a urinary tract infection include:
Answer: Staphylococcus saprophyticus.
E coli
◉ The purpose of straining in BPH is to overcome the obstruction
encountered during urination.
Answer: true
◉ The peripheral zone of the prostate is the largest zone.
Answer: true
◉ On a digital rectal exam to assess the quality of the prostate, the
NP would be concerned with which of the following findings?
GASTROINTESTINAL ALTERATIONS
COMPREHENSIVE COURSE REVIEW
◉ Which of the following is a risk factor for the development of a
urinary tract infection (UTI)?
Answer: Pregnancy
◉ A symptom of a lower urinary tract infection includes:
Answer: urgency
◉ Women are at a higher risk for the development of a UTI because
of having a shorter urethra.
Answer: true
◉ Which of the following can help to prevent a UTI?
Answer: Increase water consumption
◉ Uncomplicated UTI
Answer: Occurs in the normal urinary tract
Responds well to short course of antibiotic therapy
,Simple cystitis in non-pregnant women without any urologic
abnormalities
◉ Complicated UTI
Answer: UTI extends beyond the bladder
Caused by structural or functional urinary tract abnormalities or
untreated UTI
Infants and older adults affected
Associated with: indwelling catheters, renal calculi, diabetes,
pregnancy
◉ A 25 year- old female presents to the primary care office with
urinary burning and frequency for the last 3 days. She denies any
fever, chills, back pain. Her gynecological history is negative and
reports no vaginal discharge. The only new information reported is
that she recently had sexual intercourse with a new male partner.
The NP obtains a urinalysis and determines that the urine contains
leukocytes, RBCs, nitrites, and WBCs. No casts are identified. Based
on symptom presentation and UA results, the patient can be
diagnosed with:
Answer: cystitis
◉ J.S. is an 80 -year-old patient who resides in a local nursing home.
He recently became confused and then fell while ambulating to the
bathroom three days ago. Because of his confusion and fall, he was
,transferred to the acute care facility for evaluation and treatment.
Lab work revealed that the patient was very dehydrated with
hypernatremia identified and appropriate intravenous fluids started.
Cystitis was also identified from the urinalysis. He was also noted to
have red and excoriated skin between the buttocks and inner thighs
due to urinary frequency and dribbling. To help with skin healing
and to prevent further urine leakage, an indwelling catheter was
inserted. Two days after the catheter was placed, the patient spiked
a fever of 102 degrees Fahrenheit associated with shaking chills. An
intense, foul odor was noted in the urine. On examination of the
flank area, the patient yelled out when touched. A urine c
Answer: pyelonephritis
◉ Identify the major risk factor J.S. has that is associated with
pyelonephritis:
Answer: indwelling foley catheter
◉ The urinalysis of a patient with a complicated UTI will show
WBCs and casts
Answer: true
◉ Upon examination of a urinalysis, the NP can highly suspect that
the causative bacteria are gram negative because of the presence of:
Answer: nitrites
, ◉ A 21-year-old patient reports to the primary care clinic
complaining of urinary urgency, frequency and burning. She also
reports a small amount of vaginal discharge that contains an odor. It
is likely that the NP will perform a vaginal exam at this visit.
Answer: true
◉ The NP would know that the patient most likely has an
uncomplicated UTI because:
Answer: The UTI responds well to a short course of antibiotic
therapy.
◉ A common organism that causes a urinary tract infection include:
Answer: Staphylococcus saprophyticus.
E coli
◉ The purpose of straining in BPH is to overcome the obstruction
encountered during urination.
Answer: true
◉ The peripheral zone of the prostate is the largest zone.
Answer: true
◉ On a digital rectal exam to assess the quality of the prostate, the
NP would be concerned with which of the following findings?
