NUR 631 FINAL EXAM ACTUAL QUESTIONS AND
SOLUTIONS GRADED A+
✔✔Intensive insulin therapy 4 injections - ✔✔regular or lispro before meals and long
acting to maintain
✔✔Treatment goals healthy individuals (type 2) - ✔✔a1c <7.5
fasting 90-130
Bedtime 90-150
bp< 140/90
✔✔Treatment goals complex type 2 - ✔✔a1c< 8
fasting 90-150
bedtime 100-180
use statin!
✔✔Treatment goals very complext - ✔✔(LTC or end stage)
a1c (8.5%
fasting 100-180
bedtime 110-200
bp <150/90
✔✔Pregnancy a1c goals - ✔✔<6
✔✔Men <50 rarely get UTI's except with - ✔✔urinary catheters, anatomical
abnormalities of urinary tract, unprotected anal intercourse, vaginal intercourse with a
woman who has a bacterial infection
✔✔Incidence of UTI in men - ✔✔20%
lifetme prevalence of 1%
✔✔Incidence of UTI in postmenopausal women - ✔✔0.07-0.13 women/year
✔✔Most common bacterial of UTI - ✔✔E. Coli
✔✔Second most common bacteria of UTI - ✔✔staphylococcus saprophyticus
✔✔Diagnostic of UTI - ✔✔100000 organisms/mL
urine sample with greater than 100 orgnaisms/mL in the presence of characteristc
clinical symtpoms
✔✔Gold standard for UTI dix - ✔✔urine culture
✔✔Treatment of uncomplicated UTI in women - ✔✔nitrufurantoin 100mg BID x 3 days
, Bactrum 3 days
ampicillin 10 days
Fosfomycin-one time 3 g dose
✔✔uncomplicated treatment of UTI in adult male - ✔✔7 days with a fluoroquinolone or
bactrim
✔✔Preganct Women UTI treatment - ✔✔ampicillin or keflex
✔✔Management of asymptomatic bacteriuria - ✔✔pregnany individuals
young children
pre- urological procedure
✔✔Do not treat asymptomatic bacteriuria - ✔✔adult men, nonpregnant women, elderly,
diabetic person, spinal cord patients with indwelling catheters
✔✔Older men UTI treatment: - ✔✔10-14 days
✔✔What can untreated symptomatic cystitis lead to? - ✔✔pyelonephritis, sepsis, shock,
death
✔✔stress incontinence: - ✔✔urine leakage associated with increased abdominal
pressure from laughing, sneezing, coughing, climbing stairs, or othe rphysical stressors
increasing and pressure
✔✔Treatment of stress incontinence - ✔✔lifestyle interventions, behavioral therapies,
possible surgical procedures, alpha adrenergic meds, SNRI
✔✔Urge incontinence - ✔✔urine leakage associated by or immediately preceded by the
feeling of an urgent need to void
✔✔urge incontinence tx - ✔✔lifestyle interventions, behavioral therapies, consider trial
of antimuscarini meds
✔✔Mixed incontinence - ✔✔the combination of stress incontinence and urge
incontinence
✔✔overflow incontinenece - ✔✔urine leakage when the bladder is over disteneded and
may result in incomplete bladder emptying
✔✔overflow incontinence sx - ✔✔constant dribbling, frequency, hesitation, nocturia
✔✔overflow incontinence associated with - ✔✔bladder outlet obstruction (BPH)
SOLUTIONS GRADED A+
✔✔Intensive insulin therapy 4 injections - ✔✔regular or lispro before meals and long
acting to maintain
✔✔Treatment goals healthy individuals (type 2) - ✔✔a1c <7.5
fasting 90-130
Bedtime 90-150
bp< 140/90
✔✔Treatment goals complex type 2 - ✔✔a1c< 8
fasting 90-150
bedtime 100-180
use statin!
✔✔Treatment goals very complext - ✔✔(LTC or end stage)
a1c (8.5%
fasting 100-180
bedtime 110-200
bp <150/90
✔✔Pregnancy a1c goals - ✔✔<6
✔✔Men <50 rarely get UTI's except with - ✔✔urinary catheters, anatomical
abnormalities of urinary tract, unprotected anal intercourse, vaginal intercourse with a
woman who has a bacterial infection
✔✔Incidence of UTI in men - ✔✔20%
lifetme prevalence of 1%
✔✔Incidence of UTI in postmenopausal women - ✔✔0.07-0.13 women/year
✔✔Most common bacterial of UTI - ✔✔E. Coli
✔✔Second most common bacteria of UTI - ✔✔staphylococcus saprophyticus
✔✔Diagnostic of UTI - ✔✔100000 organisms/mL
urine sample with greater than 100 orgnaisms/mL in the presence of characteristc
clinical symtpoms
✔✔Gold standard for UTI dix - ✔✔urine culture
✔✔Treatment of uncomplicated UTI in women - ✔✔nitrufurantoin 100mg BID x 3 days
, Bactrum 3 days
ampicillin 10 days
Fosfomycin-one time 3 g dose
✔✔uncomplicated treatment of UTI in adult male - ✔✔7 days with a fluoroquinolone or
bactrim
✔✔Preganct Women UTI treatment - ✔✔ampicillin or keflex
✔✔Management of asymptomatic bacteriuria - ✔✔pregnany individuals
young children
pre- urological procedure
✔✔Do not treat asymptomatic bacteriuria - ✔✔adult men, nonpregnant women, elderly,
diabetic person, spinal cord patients with indwelling catheters
✔✔Older men UTI treatment: - ✔✔10-14 days
✔✔What can untreated symptomatic cystitis lead to? - ✔✔pyelonephritis, sepsis, shock,
death
✔✔stress incontinence: - ✔✔urine leakage associated with increased abdominal
pressure from laughing, sneezing, coughing, climbing stairs, or othe rphysical stressors
increasing and pressure
✔✔Treatment of stress incontinence - ✔✔lifestyle interventions, behavioral therapies,
possible surgical procedures, alpha adrenergic meds, SNRI
✔✔Urge incontinence - ✔✔urine leakage associated by or immediately preceded by the
feeling of an urgent need to void
✔✔urge incontinence tx - ✔✔lifestyle interventions, behavioral therapies, consider trial
of antimuscarini meds
✔✔Mixed incontinence - ✔✔the combination of stress incontinence and urge
incontinence
✔✔overflow incontinenece - ✔✔urine leakage when the bladder is over disteneded and
may result in incomplete bladder emptying
✔✔overflow incontinence sx - ✔✔constant dribbling, frequency, hesitation, nocturia
✔✔overflow incontinence associated with - ✔✔bladder outlet obstruction (BPH)
