right task
right circumstance right
5 rights of delegation person
right direction/communication right
supervision/evaluation
-Teaching, assessment, planning, evalu- ating
TAPE (delegation) -must be done by an RN
ambulating, turning, bathing, I&O, oral care,
toileting, basic ostomy care, linen change,
CNA delegation feeding, VS if stable, weights
-Gathers Data
-Performs routine procedures: ostomy,
catheter, insertion, wound care, blood
glucose, EKG
LPN delegation
-Oral and IM meds
-Stable patients only
-second most common bacterial disease
-E.coli most common pathogen
Urinary tract infection -Dx: urinalysis
Pregnancy, menopause, habitual delay of
urination, instrumentation, sexual in-
UTI risk factors tercourse
-Dysuria, frequency, urgency, suprapu- bic
discomfort or pressure
-elderly have more vague symptoms-
UTI symptoms
confusion, falls
trimethoprim-sulfonamide (TMP-SMX) or
nitrofurantoin (Macrodantin)
UTI treatment *Antibiotics
Teaching preventive measures- urinating
frequently, water, wiping from front to back,
UTI health promotion urinating after intercourse
Cystitis
, inflammation of the bladder
-Sx: urgency, frequency, pain in the blad-
der/pelvis
- Stress management techniques, tri- cyclic
antidepressants and OTCs help with burning
pain and urinary frequency; avoid clothing
that creates suprapubic pressure
-inflammation of the urethra
-most commonly from an STI
Urethritis
-Sx: discharge, dysuria, urgency, and fre-
quency
-tx: underlying cause and symptomatic relief
-inflammation of renal parenchyma and
collecting system
- most common cause is bacterial infec-
tion that begins in the lower urinary tract
-Sx: mild fatigue to sudden onset of chills,
Pyelonephritis
fever, vomiting, malaise, flank pain, and the
lower UTI characteristics
-Tx: antibiotics and hydration
- teaching: medication, follow up urine
culture
-inflammation of the glomeruli
-results from antibody-induced injury
-sx: hematuria, and urine excretion of RBC,
glomerulonephritis
WBC, proteins
- will need extensive lab work
-tx: supportive and symptomatic
-develops 5 to 21 days after infection
Acute poststreptococcal glomeru- -manifestations: generalized body ede- ma,
lonephritis hypertension, oliguria, hematuria with rusty
appearance, proteinuria
- Various types: calcium phosphate, cal-
cium oxalate, uric acid, cysteine, struvite
-Diet needs: fluid intake, low sodium
right circumstance right
5 rights of delegation person
right direction/communication right
supervision/evaluation
-Teaching, assessment, planning, evalu- ating
TAPE (delegation) -must be done by an RN
ambulating, turning, bathing, I&O, oral care,
toileting, basic ostomy care, linen change,
CNA delegation feeding, VS if stable, weights
-Gathers Data
-Performs routine procedures: ostomy,
catheter, insertion, wound care, blood
glucose, EKG
LPN delegation
-Oral and IM meds
-Stable patients only
-second most common bacterial disease
-E.coli most common pathogen
Urinary tract infection -Dx: urinalysis
Pregnancy, menopause, habitual delay of
urination, instrumentation, sexual in-
UTI risk factors tercourse
-Dysuria, frequency, urgency, suprapu- bic
discomfort or pressure
-elderly have more vague symptoms-
UTI symptoms
confusion, falls
trimethoprim-sulfonamide (TMP-SMX) or
nitrofurantoin (Macrodantin)
UTI treatment *Antibiotics
Teaching preventive measures- urinating
frequently, water, wiping from front to back,
UTI health promotion urinating after intercourse
Cystitis
, inflammation of the bladder
-Sx: urgency, frequency, pain in the blad-
der/pelvis
- Stress management techniques, tri- cyclic
antidepressants and OTCs help with burning
pain and urinary frequency; avoid clothing
that creates suprapubic pressure
-inflammation of the urethra
-most commonly from an STI
Urethritis
-Sx: discharge, dysuria, urgency, and fre-
quency
-tx: underlying cause and symptomatic relief
-inflammation of renal parenchyma and
collecting system
- most common cause is bacterial infec-
tion that begins in the lower urinary tract
-Sx: mild fatigue to sudden onset of chills,
Pyelonephritis
fever, vomiting, malaise, flank pain, and the
lower UTI characteristics
-Tx: antibiotics and hydration
- teaching: medication, follow up urine
culture
-inflammation of the glomeruli
-results from antibody-induced injury
-sx: hematuria, and urine excretion of RBC,
glomerulonephritis
WBC, proteins
- will need extensive lab work
-tx: supportive and symptomatic
-develops 5 to 21 days after infection
Acute poststreptococcal glomeru- -manifestations: generalized body ede- ma,
lonephritis hypertension, oliguria, hematuria with rusty
appearance, proteinuria
- Various types: calcium phosphate, cal-
cium oxalate, uric acid, cysteine, struvite
-Diet needs: fluid intake, low sodium
