NURS 620 COMPREHENSIVE EXAM STUDY
GUIDE COMPLETE QUESTIONS AND
SOLUTIONS
●● -fever
-N/V
-Pain (abdominal, pelvic, back)
-LMP
-Contraceptive use
-Sexual partners
-hygeine habits
-Vaginal discharge/irritation
-hx of UTIs
Answer: What additional HPI questions would you want to ask a patient
with urinary complaints (dyuria, urgency, etc.)?
●● -Usually bladder problem
-UTI
-Pyleonephritis
-STI
-inflammatory lesions of the prostate, bladder, & urethra
-Bladder tumors
,Chronic renal failure
-nephrolitiasis
-vaginitis/prostatitis
-Prolapsed uterus
-pelvic peritonitis
-cancer of cervix or prostate
Answer: What are possible differential diagnosis of dysuria?
●● UA
Answer: What is the easiest, most noninvasive, and most economical
way to identify UTI and/or other renal problems?
●● Lower urinary tract infection
Answer: Infection that occurs when the normal sterile condition of the
urinary tract is invaded by pathogenic bacteria
●● Urethra: urethritis
Bladder: cystitis
Bladder wall; Intersitital cystitis (IC)
Prostate Gland: Prostatitis
Answer: Name the types of lower urinary tract infections.
●● Onset of UTI in a previously symptom-free individual.
,Answer: Acute lower urinary tract infections are characterized by what?
●● UA C&S
Answer: What tests would you order to diagnose lower UTI?
●● -cloudy urine clarity
-positive leukocytes esterase
-positive nitrites (signals gram - organism, may have false -)
-Protein: 1+-4+ (kidney problems)
-Alkaline urine (PH 6.5-8)
-RBCs may be present
Answer: What results would make you suspect UTI?
●● -2 or more symptomatic UTIs w/in 6 months
-3 or > within 12 months
Answer: Who should receive prophylaxis for recurrent UTI?
●● After previous UTI resolution is confirmed
Answer: When should prophylaxis for recurrent UTI be intiated?
●● -Daily dosing for 6 months
-Post-coital prophylaxis
, -self medication (3-4 days of therapy when symptoms being
Answer: Antibiotic regimin for recurrent UTI prophylaxis.
●● -Dysuria
-urinary frequency & urgency
-hematuria
-low back or suprapubic pain/tenderness
-elderly=AMS
Answer: What is the clinical presentation of uncomplicated UTI?
●● -Bactrim 1 DS BID x 3
-Cefdinir 500 mg BID x 5
-Nitrofurantoin 100 mg BID x 5
Answer: WHat is the oral treatment for acute uncomplicated UTI?
●● •Complete the antibiotic regimen
•Proper hygiene
•Drink plenty of water (8 - 8oz glasses)
•Cotton undergarments
•Empty bladder after sexual intercourse
•Empty bladder frequently
•No tub baths or bubble baths
GUIDE COMPLETE QUESTIONS AND
SOLUTIONS
●● -fever
-N/V
-Pain (abdominal, pelvic, back)
-LMP
-Contraceptive use
-Sexual partners
-hygeine habits
-Vaginal discharge/irritation
-hx of UTIs
Answer: What additional HPI questions would you want to ask a patient
with urinary complaints (dyuria, urgency, etc.)?
●● -Usually bladder problem
-UTI
-Pyleonephritis
-STI
-inflammatory lesions of the prostate, bladder, & urethra
-Bladder tumors
,Chronic renal failure
-nephrolitiasis
-vaginitis/prostatitis
-Prolapsed uterus
-pelvic peritonitis
-cancer of cervix or prostate
Answer: What are possible differential diagnosis of dysuria?
●● UA
Answer: What is the easiest, most noninvasive, and most economical
way to identify UTI and/or other renal problems?
●● Lower urinary tract infection
Answer: Infection that occurs when the normal sterile condition of the
urinary tract is invaded by pathogenic bacteria
●● Urethra: urethritis
Bladder: cystitis
Bladder wall; Intersitital cystitis (IC)
Prostate Gland: Prostatitis
Answer: Name the types of lower urinary tract infections.
●● Onset of UTI in a previously symptom-free individual.
,Answer: Acute lower urinary tract infections are characterized by what?
●● UA C&S
Answer: What tests would you order to diagnose lower UTI?
●● -cloudy urine clarity
-positive leukocytes esterase
-positive nitrites (signals gram - organism, may have false -)
-Protein: 1+-4+ (kidney problems)
-Alkaline urine (PH 6.5-8)
-RBCs may be present
Answer: What results would make you suspect UTI?
●● -2 or more symptomatic UTIs w/in 6 months
-3 or > within 12 months
Answer: Who should receive prophylaxis for recurrent UTI?
●● After previous UTI resolution is confirmed
Answer: When should prophylaxis for recurrent UTI be intiated?
●● -Daily dosing for 6 months
-Post-coital prophylaxis
, -self medication (3-4 days of therapy when symptoms being
Answer: Antibiotic regimin for recurrent UTI prophylaxis.
●● -Dysuria
-urinary frequency & urgency
-hematuria
-low back or suprapubic pain/tenderness
-elderly=AMS
Answer: What is the clinical presentation of uncomplicated UTI?
●● -Bactrim 1 DS BID x 3
-Cefdinir 500 mg BID x 5
-Nitrofurantoin 100 mg BID x 5
Answer: WHat is the oral treatment for acute uncomplicated UTI?
●● •Complete the antibiotic regimen
•Proper hygiene
•Drink plenty of water (8 - 8oz glasses)
•Cotton undergarments
•Empty bladder after sexual intercourse
•Empty bladder frequently
•No tub baths or bubble baths
