NURS 3444 GU Exam Study Guide With Verified Solutions.

-suprapubic or lower back pain, bladder spasms, dysuria, burning on urination, objective data Normal Urinalysis - answer-ph 5 TO 9 -Specific gravity 1.025 (with normal intake) - 1.020 indicates dehydration - protein absent - NONE of the following: .glucose .ketones .WBC .RBCS .Casts .Nitrites UTI causes - answer-Ecoli most common pathogen (85%) -gram negative organisms -occasionally fungal and parasitic pathogens UTI classification - answer-lower tract -upper tract -uncomplicated infection -complicated infections Recurrent UTIS - answerrepeated episodes persistent UTIS - answerbacteriuria despite antibiotics febrile UTIS - answertypically indicateds pyelonephritis Urosepsis UTIS - answerbacterial illness; urinary pathogens in the blood Urine collection on an infant/child - answerspecimens obtained by catheterization, or suprapubic needle aspiration has more accurate results. May be necessary when clean catch isn't available uncomplicated cystitis - answershort-term course of antibiotics Complicated UTIs - answerlong-term treatment to prevent recurrence. prophylactic Vesicoureteral reflex - answer-backwards ureteral urine flow -can be unilateral or bilateral -congenital -severity is 1-5 1 and 2=mild, 3,4, 5 is severe -mild form usually resolves spontaneously -renal damage can occur Grade 1 and 2 management VUR - answer-prophylaxis ABT's -voiding schedule -hygiene -routine VCUG Grade 3, 4, 5 management VUR - answer-same as 1 and 2 plus -surgical intervention (ureteral reimplantation) for severe cases -VCUG procedure is upsetting for toilet trained children Post-Op VUR care - answer-IVF's at 1 and a half times FMR -I&O -fOLEY/SUPRAPUBIC, and or ureteral tubes for urine drainage -pain mgmt -OOB -abd assessments -advance diet as tolerated -prophylaxis ABT 1-2 months -Follow up VCUG -psychosocial support Acute glomerulonephritis - answer-most common form is acute post-streptococcal glomerulonephritis (immune response to beta hemolytic strep) -onset 5 to 12 days after other infection -inflammatory response in the glomerular system -common age 6-8 years and mire in males than females