NURS 3661 UTA EXAM 3 MS QUESTIONS WITH
ACCURATE ANSWERS
How do we classify UTI? - ANSWER Upper and Lower
What is a upper UTI and examples? - ANSWER Infection that occurs in the kidneys
caused by microorganisms entering
examples
*Acute/chronic pyelonephritis
*renal abscess
*interstitial nephritis
*perirenal abscess
What is a lower UTI and examples? - ANSWER Infection caused by microorganism in the
bladder
Examples
*Cystitis
*prostatitis
*Urethritis
What gender is more likely to get an UTI and hy? - ANSWER Women, because they have
a shorter urethra
What are classic signs and symptoms of an UTI? - ANSWER *Incr urination
*dysuria (painful urination)
*frequency/incontinence
*Fever
*elevated WBC
,*pyuria
*burning
What are risk factors for an UTI? - ANSWER *obstructed urinary flow
*certain conditions such as diabetes
*failure to empty the whole bladder such as BPH
*unsafe sexual practices
*Renal calculi (kidney stones)
What is the first sign of UTI development in older adults? - ANSWER *Confusion
How are diagnostics made for UTI? - ANSWER *Urine culture
*Dipstick urinalysis
*Bacterial count
Most common bacteria for UTI in women? - ANSWER E coli
Make sure to teach going wiping technique
What method is used to get a urine sameple? - ANSWER Clean Catch
A colony count greater than __________ indicates infection. - ANSWER 100,000
T/F
Lower colony count can indicate infection based on where sample (blood) was taken. -
ANSWER True
,Needles aspiration
s
What are some question we can ask as a RN to get more information about the UTI? -
ANSWER COLDSPA questions
Where is pain located?
When did it start?
How long has it occurs?
Have you tried anything to treat yet?
Sexual History questions?
TX for UTI - ANSWER *ABX (specific to bacteria)
*Pyridium---this is just for the BURNING sensation
*Pt education, like hydration, safe sex practices, wiping technique(mainly for chicks)
How long can an uncomplicated UTI such as Cystitis TREATMENT last? - ANSWER 1-3
days
How long is NORMAL UTI treatment last? What should be mentioned in the teaching? -
ANSWER *7-14 days
*Adherence, take until finished even if symptoms are not present, because
REOCCURING UTI can come back stronger and painful.
When is longer TX for UTI needed? - ANSWER *Men that get UTI
, *pregnant women (can get tricky to treat)
*women w/ pyelonephritits or REOCCURING UTI's
What may be used as INITITAL treatment (before culture results) to treat UTI? -
ANSWER Bactrim, (SMX/TMP) a broad spectrum ABX, mainly used to treat
uncomplicated UTI's
benefits is that Bactrim is inexpensive, taken BID
What are the two other mainstream drugs beginining with M that are used to treat UTI
and how often are they taken? - ANSWER Macrodantin = taken 4x a day
MacroBID= taken BID, twice a day
What drug may be prescribed to treat UTI for a patient with Kidney failure or kidney
issues? - ANSWER Cillins (unless pt is allergic)
...then we use...
Cephalexin (Keflex)
What time of drug is used to treat FUNGUS secondary to UTI? - ANSWER
(ANTI-FUNGALS)
Amphoteracin (in hospital)
Fluconazole or Metronidazole (outpatient)
EXTREME PT TEACHING WITH FLUCONAZOLE/METRONIDAZOLE? - ANSWER Do not
FOR THE LOVE OF GOD DRINK!!!!
ACCURATE ANSWERS
How do we classify UTI? - ANSWER Upper and Lower
What is a upper UTI and examples? - ANSWER Infection that occurs in the kidneys
caused by microorganisms entering
examples
*Acute/chronic pyelonephritis
*renal abscess
*interstitial nephritis
*perirenal abscess
What is a lower UTI and examples? - ANSWER Infection caused by microorganism in the
bladder
Examples
*Cystitis
*prostatitis
*Urethritis
What gender is more likely to get an UTI and hy? - ANSWER Women, because they have
a shorter urethra
What are classic signs and symptoms of an UTI? - ANSWER *Incr urination
*dysuria (painful urination)
*frequency/incontinence
*Fever
*elevated WBC
,*pyuria
*burning
What are risk factors for an UTI? - ANSWER *obstructed urinary flow
*certain conditions such as diabetes
*failure to empty the whole bladder such as BPH
*unsafe sexual practices
*Renal calculi (kidney stones)
What is the first sign of UTI development in older adults? - ANSWER *Confusion
How are diagnostics made for UTI? - ANSWER *Urine culture
*Dipstick urinalysis
*Bacterial count
Most common bacteria for UTI in women? - ANSWER E coli
Make sure to teach going wiping technique
What method is used to get a urine sameple? - ANSWER Clean Catch
A colony count greater than __________ indicates infection. - ANSWER 100,000
T/F
Lower colony count can indicate infection based on where sample (blood) was taken. -
ANSWER True
,Needles aspiration
s
What are some question we can ask as a RN to get more information about the UTI? -
ANSWER COLDSPA questions
Where is pain located?
When did it start?
How long has it occurs?
Have you tried anything to treat yet?
Sexual History questions?
TX for UTI - ANSWER *ABX (specific to bacteria)
*Pyridium---this is just for the BURNING sensation
*Pt education, like hydration, safe sex practices, wiping technique(mainly for chicks)
How long can an uncomplicated UTI such as Cystitis TREATMENT last? - ANSWER 1-3
days
How long is NORMAL UTI treatment last? What should be mentioned in the teaching? -
ANSWER *7-14 days
*Adherence, take until finished even if symptoms are not present, because
REOCCURING UTI can come back stronger and painful.
When is longer TX for UTI needed? - ANSWER *Men that get UTI
, *pregnant women (can get tricky to treat)
*women w/ pyelonephritits or REOCCURING UTI's
What may be used as INITITAL treatment (before culture results) to treat UTI? -
ANSWER Bactrim, (SMX/TMP) a broad spectrum ABX, mainly used to treat
uncomplicated UTI's
benefits is that Bactrim is inexpensive, taken BID
What are the two other mainstream drugs beginining with M that are used to treat UTI
and how often are they taken? - ANSWER Macrodantin = taken 4x a day
MacroBID= taken BID, twice a day
What drug may be prescribed to treat UTI for a patient with Kidney failure or kidney
issues? - ANSWER Cillins (unless pt is allergic)
...then we use...
Cephalexin (Keflex)
What time of drug is used to treat FUNGUS secondary to UTI? - ANSWER
(ANTI-FUNGALS)
Amphoteracin (in hospital)
Fluconazole or Metronidazole (outpatient)
EXTREME PT TEACHING WITH FLUCONAZOLE/METRONIDAZOLE? - ANSWER Do not
FOR THE LOVE OF GOD DRINK!!!!
