NU 409 Exam 4 Guide With
Complete Solution
Urinary tract infections are the result of... - ANSWER bacteria (often E. coli)
ascending into the urethra, bladder, and kidneys (pyelonephritis).
cystitis is the most common form of... - ANSWER UTI and is limited to the
bladder
symptoms of cystitis - ANSWER -urinary frequency
-urinary urgency
-a sensation of incomplete emptying
-pain with urination
-hematuria
urinalysis may be used to assess for... - ANSWER -UTIs
-the values specific to UTI are leukocytes, nitrates, and blood
-a more definite urine culture must be done in a laboratory
UTIs may resolve without... - ANSWER treatment or treated with antibiotics
if a UTI is treated with antibiotics, patients should be taught to... - ANSWER
finish their course of antibiotics, even if they feel better
what is phenazopyridine - ANSWER an over the counter urinary analgesic
that can manage symptoms related to cystitis but it does not cure the UTI
,patients should be taught not to take phenazopyridine for more than... -
ANSWER 2 days because it can mask the symptoms of UTI
patient should be taught that phenazopyridine changes the urine to... -
ANSWER bright orange, which can be alarming
what is pyelonephritis - ANSWER a UTI that has ascended into the kidneys
symptoms of pylonephritis - ANSWER -fever
-chills
-flu-like symptoms
-back pain
what is needed to determine the type of antibiotic needed with
pyelonephritis - ANSWER a urine culture
long term consequences of pylelonephritis - ANSWER -infection
-kidney failure
-shock
-multiple organ dysfunction
-sepsis
-death
What is pylonephritis usually treated with... - ANSWER -ciprofloxacin
-levofloxacin
A patient calls the clinic with complaints of fever, back pain, urinary
frequency, and urinary urgency. The nurse suspects the provider will do
,which of the following?
A. Recommend the patient stay home and drink a lot of water.
B. Recommend the patient come to the clinic to be evaluated for
pyelonephritis.
C. Diagnose the patient with a urinary tract infection and call in a
prescription.
D. Recommend the patient take phenazopyridine for 2 days and call back if
symptoms persist. - ANSWER B.
-The provider will likely ask the patient to come to the clinic to be evaluated
for pyelonephritis because the patient is experiencing a fever and back pain
along with urinary frequency and urgency. Pyelonephritis is the result of
bacteria that ascends from the urethra, to the bladder, and then to the
kidneys. A urine culture should be obtained to determine the correct
antibiotic treatment and to avoid long-term complications. Recommending
water and phenazopyridine is not appropriate at this time.
what is bacterial vaginosis - ANSWER is associated with higher than normal
pH in the vagina that allows certain bacteria to become dominant.
what are conditions that raise the pH - ANSWER -pregnancy
-intercourse
-tampons
signs and symptoms of BV - ANSWER -fishy vaginal odor
-white/gray vaginal discharge
-high pH
, treatment for BV - ANSWER often resolves spontaneously but may be treated
with oral metronidazole or vaginal cream
what is vaginitis - ANSWER inflammation of the mucosa of the vagina
what is a common cause of vaginitis - ANSWER candida vulvovaginitis (also
known as a yeast infection)
causes of vaginitis - ANSWER -antibiotics
-restrictive clothing
-underwear made with artificial fibers
-glucose intolerance
-it may be occasionally shared sexually
what would women report with vaginitis - ANSWER -thick, cottage
cheese-like vaginal discharge
-acute vaginal dryness
examination findings for vaginitis - ANSWER inflamed tissue of the vulva
vaginitis is treated with - ANSWER fluconazole
women with recurrent yeast infections should be assessed for... - ANSWER
diabetes
candidiasis vulvovaginitis - ANSWER yeast infection
what is trichomoniasis - ANSWER a sexually transmitted form of vaginitis
caused by trichomonas vaginalis (protozoan)
what is the most common nonviral STI - ANSWER trichomoniasis
Complete Solution
Urinary tract infections are the result of... - ANSWER bacteria (often E. coli)
ascending into the urethra, bladder, and kidneys (pyelonephritis).
cystitis is the most common form of... - ANSWER UTI and is limited to the
bladder
symptoms of cystitis - ANSWER -urinary frequency
-urinary urgency
-a sensation of incomplete emptying
-pain with urination
-hematuria
urinalysis may be used to assess for... - ANSWER -UTIs
-the values specific to UTI are leukocytes, nitrates, and blood
-a more definite urine culture must be done in a laboratory
UTIs may resolve without... - ANSWER treatment or treated with antibiotics
if a UTI is treated with antibiotics, patients should be taught to... - ANSWER
finish their course of antibiotics, even if they feel better
what is phenazopyridine - ANSWER an over the counter urinary analgesic
that can manage symptoms related to cystitis but it does not cure the UTI
,patients should be taught not to take phenazopyridine for more than... -
ANSWER 2 days because it can mask the symptoms of UTI
patient should be taught that phenazopyridine changes the urine to... -
ANSWER bright orange, which can be alarming
what is pyelonephritis - ANSWER a UTI that has ascended into the kidneys
symptoms of pylonephritis - ANSWER -fever
-chills
-flu-like symptoms
-back pain
what is needed to determine the type of antibiotic needed with
pyelonephritis - ANSWER a urine culture
long term consequences of pylelonephritis - ANSWER -infection
-kidney failure
-shock
-multiple organ dysfunction
-sepsis
-death
What is pylonephritis usually treated with... - ANSWER -ciprofloxacin
-levofloxacin
A patient calls the clinic with complaints of fever, back pain, urinary
frequency, and urinary urgency. The nurse suspects the provider will do
,which of the following?
A. Recommend the patient stay home and drink a lot of water.
B. Recommend the patient come to the clinic to be evaluated for
pyelonephritis.
C. Diagnose the patient with a urinary tract infection and call in a
prescription.
D. Recommend the patient take phenazopyridine for 2 days and call back if
symptoms persist. - ANSWER B.
-The provider will likely ask the patient to come to the clinic to be evaluated
for pyelonephritis because the patient is experiencing a fever and back pain
along with urinary frequency and urgency. Pyelonephritis is the result of
bacteria that ascends from the urethra, to the bladder, and then to the
kidneys. A urine culture should be obtained to determine the correct
antibiotic treatment and to avoid long-term complications. Recommending
water and phenazopyridine is not appropriate at this time.
what is bacterial vaginosis - ANSWER is associated with higher than normal
pH in the vagina that allows certain bacteria to become dominant.
what are conditions that raise the pH - ANSWER -pregnancy
-intercourse
-tampons
signs and symptoms of BV - ANSWER -fishy vaginal odor
-white/gray vaginal discharge
-high pH
, treatment for BV - ANSWER often resolves spontaneously but may be treated
with oral metronidazole or vaginal cream
what is vaginitis - ANSWER inflammation of the mucosa of the vagina
what is a common cause of vaginitis - ANSWER candida vulvovaginitis (also
known as a yeast infection)
causes of vaginitis - ANSWER -antibiotics
-restrictive clothing
-underwear made with artificial fibers
-glucose intolerance
-it may be occasionally shared sexually
what would women report with vaginitis - ANSWER -thick, cottage
cheese-like vaginal discharge
-acute vaginal dryness
examination findings for vaginitis - ANSWER inflamed tissue of the vulva
vaginitis is treated with - ANSWER fluconazole
women with recurrent yeast infections should be assessed for... - ANSWER
diabetes
candidiasis vulvovaginitis - ANSWER yeast infection
what is trichomoniasis - ANSWER a sexually transmitted form of vaginitis
caused by trichomonas vaginalis (protozoan)
what is the most common nonviral STI - ANSWER trichomoniasis
