Module 9.8 UTI
The nurse caring for a patient with a history of urinary tract infections (UTIs) states that
vesicoureteral reflux is suspected as the causative factor.
Which statement by the nurse further explains this?
-"Vesicoureteral reflux is a result of an accumulation of urine that has flowed back into your
kidneys."
-"Vesicoureteral reflux results because you do not voluntarily completely empty your
bladder."
-"Vesicoureteral reflux involves backflow of urine from the bladder back into your kidneys."
-"Vesicoureteral reflux is a condition where bladder spasms cause irritation of the lining of
your bladder." - correct answer-"Vesicoureteral reflux involves backflow of urine from the
bladder back into your kidneys."
The nurse is caring for a patient who presents with symptoms of a urinary tract infection
(UTI).
Which collaborative intervention should the nurse anticipate to determine appropriate
treatment?
-Intravenous pyelography
-Pelvic examination
-Cystoscopy
-Urine culture and sensitivity - correct answer-Urine culture and sensitivity
A patient who has been treated empirically for a urinary tract infection (UTI) over the past 3
days with the antibiotic nitrofurantoin is experiencing worsening symptoms.
Which urine test should the nurse anticipate to hasten identification of the type of
microorganism causing the UTI?
-Urine Gram stain
-Culture and sensitivity
-WBC count with a differential
-Urinalysis - correct answer-Urine Gram stain
, The nurse is caring for a 20-year-old who has had several recent urinary tract infections
(UTIs). The patient states, "I would like to talk about nutritional options to help prevent
urinary tract infections."
Which statement by the nurse provides the patient with evidence-based information?
-"You should avoid foods high in sugar; they are a causative factor for UTIs."
-"Research does not support the restriction of food related to the decreased incidence of
UTIs."
-"You should avoid alcoholic beverages, because its consumption has been linked to
increased risk for UTIs."
-"Cranberry juice should be avoided, because it has not been proven to reduce UTIs." -
correct answer-"You should avoid alcoholic beverages, because its consumption has been
linked to increased risk for UTIs."
The nurse is providing nutritional discharge instructions for a patient with a urinary tract
infection (UTI).
Which patient statement indicates the need for further teaching?
-"I will make sure the cranberry juice I am drinking is low in sugar."
-"I will make sure that I drink at least 2 liters of fluid a day."
-"I will limit my caffeine to 1 cup of coffee a day."
-"I will increase my intake of vitamin C." - correct answer-"I will limit my caffeine to 1 cup of
coffee a day."
A patient diagnosed with a urinary tract infection (UTI) reports the pain at 7 on a 0-10 scale.
Which drug classification should the nurse expect to find on the medication administration
record (MAR)?
-Urinary analgesic
-Glycopeptide antibiotics
-Penicillin antibiotics
-Sulfonamide antibiotics - correct answer-Urinary analgesic
A patient diagnosed with a urinary tract infection provides a urine sample for culture and
sensitivity. The patient asks, "I know I have an infection, so why do you have to do this test?"
Which is an accurate response by the nurse?
-"The test can identify the changes associated with the infection."
The nurse caring for a patient with a history of urinary tract infections (UTIs) states that
vesicoureteral reflux is suspected as the causative factor.
Which statement by the nurse further explains this?
-"Vesicoureteral reflux is a result of an accumulation of urine that has flowed back into your
kidneys."
-"Vesicoureteral reflux results because you do not voluntarily completely empty your
bladder."
-"Vesicoureteral reflux involves backflow of urine from the bladder back into your kidneys."
-"Vesicoureteral reflux is a condition where bladder spasms cause irritation of the lining of
your bladder." - correct answer-"Vesicoureteral reflux involves backflow of urine from the
bladder back into your kidneys."
The nurse is caring for a patient who presents with symptoms of a urinary tract infection
(UTI).
Which collaborative intervention should the nurse anticipate to determine appropriate
treatment?
-Intravenous pyelography
-Pelvic examination
-Cystoscopy
-Urine culture and sensitivity - correct answer-Urine culture and sensitivity
A patient who has been treated empirically for a urinary tract infection (UTI) over the past 3
days with the antibiotic nitrofurantoin is experiencing worsening symptoms.
Which urine test should the nurse anticipate to hasten identification of the type of
microorganism causing the UTI?
-Urine Gram stain
-Culture and sensitivity
-WBC count with a differential
-Urinalysis - correct answer-Urine Gram stain
, The nurse is caring for a 20-year-old who has had several recent urinary tract infections
(UTIs). The patient states, "I would like to talk about nutritional options to help prevent
urinary tract infections."
Which statement by the nurse provides the patient with evidence-based information?
-"You should avoid foods high in sugar; they are a causative factor for UTIs."
-"Research does not support the restriction of food related to the decreased incidence of
UTIs."
-"You should avoid alcoholic beverages, because its consumption has been linked to
increased risk for UTIs."
-"Cranberry juice should be avoided, because it has not been proven to reduce UTIs." -
correct answer-"You should avoid alcoholic beverages, because its consumption has been
linked to increased risk for UTIs."
The nurse is providing nutritional discharge instructions for a patient with a urinary tract
infection (UTI).
Which patient statement indicates the need for further teaching?
-"I will make sure the cranberry juice I am drinking is low in sugar."
-"I will make sure that I drink at least 2 liters of fluid a day."
-"I will limit my caffeine to 1 cup of coffee a day."
-"I will increase my intake of vitamin C." - correct answer-"I will limit my caffeine to 1 cup of
coffee a day."
A patient diagnosed with a urinary tract infection (UTI) reports the pain at 7 on a 0-10 scale.
Which drug classification should the nurse expect to find on the medication administration
record (MAR)?
-Urinary analgesic
-Glycopeptide antibiotics
-Penicillin antibiotics
-Sulfonamide antibiotics - correct answer-Urinary analgesic
A patient diagnosed with a urinary tract infection provides a urine sample for culture and
sensitivity. The patient asks, "I know I have an infection, so why do you have to do this test?"
Which is an accurate response by the nurse?
-"The test can identify the changes associated with the infection."
