MARYVILLE NURS 620 ADULT 1 EXAM 1 EXAM
PREPARATION PACK 2026 KEY CONCEPTS
AND REVISION NOTES
◉ •Oral Pentosan polysulfate sodium: 100mg TID or 200mg BID
•Course duration: 2-4 months minimum
•Intravesical DMSO bladder instillation
•Bladder training (reduce eliminations)
• Hydrodistension of bladder, low acid diet, laser, NSAIDS,
antidepressants, muscle relaxants.
Answer: Management of Interstitial cystitis.
◉ sexually active adults
very young children
frail older adults.
Answer: Which populations are lower UTIs most common in?
◉ Suppressed immune system
pregnancy
urinary obstruction
catheter dependency
,neurogenic bladder
DM.
Answer: What predisposing conditions put the patient at more risk
for lower UTI?
◉ fecal contamination secondary to poor perineal hygeine..
Answer: Most common cause of lower UTI?
◉ unprotected sexual intercourse
anatomically shortened urethra in women
spermicide
catheters
renal stones.
Answer: Additional causes of lower UTI?
◉ creates a medium in which bacteria can grow and proliferate.
Answer: How does elevated PH cause lower UTI?
◉ E. Coli.
Answer: Most common bacterial agent responsible for
uncomplicated UTI in women.
,◉ Candida.
Answer: Causitive agent in complicated UTI that fails to respond to
antibiotic therapy.
◉ Dysuria
Urinary frequency or urgency
nocturia
low back or suprapubic pain
urinary incontinence.
Answer: Subjective findings with lower UTI?
◉ Hematuria
cloudy, foul smelling urine
alkaline PH
elevate levels of nitrites
leukocyte esterase
urine sedements of RBCs, WBCs, mucus, and bacterial overgrowth.
Answer: Objective findings with lower UTI?
◉ clean-catch midstream urine specimen.
Answer: Preferred collection method for UA?
, ◉ > 100,000 organisms/ml plus presence of characteristic clinical
symptoms..
Answer: What characteristics of UA/C&S indicates infection?
◉ Urine culture.
Answer: Gold standard of laboratory confirmation of UTI
◉ UA/C&S
IC: potassium sensitivity test (PST).
Answer: Diagnostic testing for lower UTI
◉ gram negative bacteria.
Answer: What do nitrates signal on a UA?
◉ Proteinuria.
Answer: Which diagnostic is often the first indicator of renal
problem?
◉ Hematuria may be only symptom
May present with altered MS
Dizziness-early symptom.
PREPARATION PACK 2026 KEY CONCEPTS
AND REVISION NOTES
◉ •Oral Pentosan polysulfate sodium: 100mg TID or 200mg BID
•Course duration: 2-4 months minimum
•Intravesical DMSO bladder instillation
•Bladder training (reduce eliminations)
• Hydrodistension of bladder, low acid diet, laser, NSAIDS,
antidepressants, muscle relaxants.
Answer: Management of Interstitial cystitis.
◉ sexually active adults
very young children
frail older adults.
Answer: Which populations are lower UTIs most common in?
◉ Suppressed immune system
pregnancy
urinary obstruction
catheter dependency
,neurogenic bladder
DM.
Answer: What predisposing conditions put the patient at more risk
for lower UTI?
◉ fecal contamination secondary to poor perineal hygeine..
Answer: Most common cause of lower UTI?
◉ unprotected sexual intercourse
anatomically shortened urethra in women
spermicide
catheters
renal stones.
Answer: Additional causes of lower UTI?
◉ creates a medium in which bacteria can grow and proliferate.
Answer: How does elevated PH cause lower UTI?
◉ E. Coli.
Answer: Most common bacterial agent responsible for
uncomplicated UTI in women.
,◉ Candida.
Answer: Causitive agent in complicated UTI that fails to respond to
antibiotic therapy.
◉ Dysuria
Urinary frequency or urgency
nocturia
low back or suprapubic pain
urinary incontinence.
Answer: Subjective findings with lower UTI?
◉ Hematuria
cloudy, foul smelling urine
alkaline PH
elevate levels of nitrites
leukocyte esterase
urine sedements of RBCs, WBCs, mucus, and bacterial overgrowth.
Answer: Objective findings with lower UTI?
◉ clean-catch midstream urine specimen.
Answer: Preferred collection method for UA?
, ◉ > 100,000 organisms/ml plus presence of characteristic clinical
symptoms..
Answer: What characteristics of UA/C&S indicates infection?
◉ Urine culture.
Answer: Gold standard of laboratory confirmation of UTI
◉ UA/C&S
IC: potassium sensitivity test (PST).
Answer: Diagnostic testing for lower UTI
◉ gram negative bacteria.
Answer: What do nitrates signal on a UA?
◉ Proteinuria.
Answer: Which diagnostic is often the first indicator of renal
problem?
◉ Hematuria may be only symptom
May present with altered MS
Dizziness-early symptom.
