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Exam (elaborations)

NR 507 Exam Review Questions with Verified Correct Answers

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NR 507 Exam Review Questions with Verified Correct Answers

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NR 507 Exam Review Questions with Verified

Correct Answers

Which of the following is true regarding a complicated urinary tract infection?

Can be caused by a structural urinary tract disorder

Which of the following is a risk factor for the development of a urinary tract infection (UTI)?

pregnancy

A symptom of a lower urinary tract infection includes:

urgency

Women are at a higher risk for the development of a UTI because of having a shorter urethra.

true

Which of the following can help to prevent a UTI?

increase water consumption

Risk factors for a UTI

pregnancy
sexually active
post-menopause
estrogen-deficiency
women (shorter urethra)
catheterization

An upper UTI is less common in men due to the longer urethra and ureter structures that
make it more difficult for bacteria to reach the kidney.

true

complicated UTI

-A UTI that extends beyond the bladder
-Caused by structural or functional urinary tract abnormalities or untreated UTI

, -Infants and older adults affected
-Associated with:indwelling cathetersrenal calculiDiabetesPregnancy

uncomplicated UTI

-Occurs in the normal urinary tract
-Responds well to a short course of antibiotic therapy
-Simple cystitis in non-pregnant women without any urologic abnormalities

Most common cause of UTI bacteria

E coli

Uncomplicated UTI

Protein +/_
Leukocyte Esterase +
Nitrites +/_
RBCs +/_
WBCs +/> 5000/hpf
Casts - None

Complicated UTI

Protein +/_
Leukocyte Esterase +
Nitrites +/_
RBCs +
WBCs +/> 100,000/hpf
Casts +

NP education

-Drink more water.
-Although there are differences of opinions, cranberry juice and vitamin C can help to acidify the
urine.
-Urinate before and after sexual intercourse to remove bacteria from the urethral area.-
Encourage the female to avoid holding urine for extended periods of time
-Avoid the use of hygiene sprays and spermicides because they alter the normal microbial flora
to enhance the risk for infection.
-Encourage the female to wipe from the front to the back after a bowel movement to avoid
spreading bacteria to the urethra
-Encourages showers rather than bathing to avoid the spread of bacteria.

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