NR 507 Final
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Which of the following is true Can be caused by a structural urinary tract disorder
regarding a complicated urinary
tract infection?
Which of the following is a risk Pregnancy
factor for the development of a
urinary tract infection (UTI)?
A symptom of a lower urinary tract urgency
infection includes:
Women are at a higher risk for the true
development of a UTI because of
having a shorter urethra.
Which of the following can help to Increase water consumption
prevent a UTI?
Occurs in the normal urinary tract
Responds well to short course of antibiotic therapy
Uncomplicated UTI
Simple cystitis in non-pregnant women without any urologic
abnormalities
, UTI extends beyond the bladder
Caused by structural or functional urinary tract abnormalities or
untreated UTI
Complicated UTI
Infants and older adults affected
Associated with: indwelling catheters, renal calculi, diabetes,
pregnancy
A 25 year- old female presents to cystitis
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:
, J.S. is an 80 -year-old patient who pyelonephritis
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 culture was obtained and
came back positive for nitrites and
RBCs. Urine microscopy revealed
>100,000 WBC/hpf and casts.
Based on the information provided
in the case, the patient can most
likely be diagnosed with:
Identify the major risk factor J.S. has indwelling foley catheter
that is associated with
pyelonephritis:
The urinalysis of a patient with a true
complicated UTI will show WBCs
and casts