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MARYVILLE NURS 620 ADULT 1 TEST 2 2026 EXAM SCRIPT SOLVED QUESTIONS SET

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MARYVILLE NURS 620 ADULT 1 TEST 2 2026 EXAM SCRIPT SOLVED QUESTIONS SET

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MARYVILLE NURS 620 ADULT 1
TEST 2 2026 EXAM SCRIPT SOLVED
QUESTIONS SET
◉ -fever
-N/V
-Pain (abdominal, pelvic, back)
-LMP
-Contraceptive use
-Sexual partners
-hygeine habits
-Vaginal discharge/irritation
-hx of UTIs.
Answer: What additional HPI questions would you want to ask a patient
with urinary complaints (dyuria, urgency, etc.)?


◉ -Usually bladder problem
-UTI
-Pyleonephritis
-STI
-inflammatory lesions of the prostate, bladder, & urethra
-Bladder tumors
Chronic renal failure
-nephrolitiasis

,-vaginitis/prostatitis
-Prolapsed uterus
-pelvic peritonitis
-cancer of cervix or prostate.
Answer: What are possible differential diagnosis of dysuria?


◉ UA.
Answer: What is the easiest, most noninvasive, and most economical
way to identify UTI and/or other renal problems?


◉ Lower urinary tract infection.
Answer: Infection that occurs when the normal sterile condition of the
urinary tract is invaded by pathogenic bacteria


◉ Urethra: urethritis
Bladder: cystitis
Bladder wall; Intersitital cystitis (IC)
Prostate Gland: Prostatitis.
Answer: Name the types of lower urinary tract infections.


◉ Onset of UTI in a previously symptom-free individual..
Answer: Acute lower urinary tract infections are characterized by what?


◉ UA C&S.

,Answer: What tests would you order to diagnose lower UTI?


◉ -cloudy urine clarity
-positive leukocytes esterase
-positive nitrites (signals gram - organism, may have false -)
-Protein: 1+-4+ (kidney problems)
-Alkaline urine (PH 6.5-8)
-RBCs may be present.
Answer: What results would make you suspect UTI?


◉ -2 or more symptomatic UTIs w/in 6 months
-3 or > within 12 months.
Answer: Who should receive prophylaxis for recurrent UTI?


◉ After previous UTI resolution is confirmed.
Answer: When should prophylaxis for recurrent UTI be intiated?


◉ -Daily dosing for 6 months
-Post-coital prophylaxis
-self medication (3-4 days of therapy when symptoms being.
Answer: Antibiotic regimin for recurrent UTI prophylaxis.


◉ -Dysuria

, -urinary frequency & urgency
-hematuria
-low back or suprapubic pain/tenderness
-elderly=AMS.
Answer: What is the clinical presentation of uncomplicated UTI?


◉ -Bactrim 1 DS BID x 3
-Cefdinir 500 mg BID x 5
-Nitrofurantoin 100 mg BID x 5.
Answer: WHat is the oral treatment for acute uncomplicated UTI?


◉ •Complete the antibiotic regimen
•Proper hygiene
•Drink plenty of water (8 - 8oz glasses)
•Cotton undergarments
•Empty bladder after sexual intercourse
•Empty bladder frequently
•No tub baths or bubble baths.
Answer: Patient education for uncomplicated UTI


◉ Chronic Pelvic Pain.
Answer: Non-cyclic pain of 6 or more months duration that is localized
to the pelvis and is sufficient severity to cause functional disability

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