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NCLEX Cheat Sheet UTI

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Urinary Tract Infections 1. Urinary Tract Infection FIGURE 1. URINARY TRACT INFECTIONS Acute cystitis (urinary tract infection [UTI]) is bladder inflammation from infection, usually caused by Escherichia coli (E. coli). Risk factors: TABLE 1. UTI RISK FACTORS Factors that introduce bacteria or  bacterial growth y Female: Shorter urethra y Diabetes mellitus: Bacteria feed on glucose in urine. y Sexual activity y Poor hygiene  Indwelling urinary catheters y Cystoscopy (FIGURE 2) Factors affecting bladder emptying y Older age:risk of incomplete bladder emptying y Constipation y BPH y Kidney stones y Neurogenic bladder  UTIs cause urinary burning, frequency, and urgency. However, older adults may experience confusion as the only symptom. FIGURE 2. CYSTOSCOPY Assessment findings:  Urinary burning, urgency, and frequency (dysuria)  Difficulty voiding y Nocturia y Cloudy or malodorous urine  Mental status changes (confusion) may be the only symptom for older adults. UTI care focuses on: 1. Assessing and treating infection 2. Encouraging adequate fluid intake and frequent bladder emptying 3. Managing dysuria and pain 4. Teaching client to prevent recurrent UTIs 1. Assess and treat infection:  Collect a urine sample for urinalysis and culture: y Urinalysis: Analyzes urine for the presence of infection (nitrate, WBCs)

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1. Urinary Tract Infection
FIGURE 1. URINARY TRACT INFECTIONS FIGURE 2. CYSTOSCOPY




Assessment findings:
Urinary burning, urgency, and frequency (dysuria)
Difficulty voiding
 Nocturia
 Cloudy or malodorous urine
Acute cystitis (urinary tract infection [UTI]) is
Mental status changes (confusion) may be the
bladder inflammation from infection, usually
only
caused by Escherichia coli (E. coli).
symptom for older adults.
Risk factors:
UTI care focuses on:
1. Assessing and treating infection
TABLE 1. UTI RISK FACTORS 2. Encouraging adequate fluid intake and
frequent
 Female: Shorter urethra bladder emptying
Factors that  Diabetes mellitus: Bacteria 3. Managing dysuria and pain
introduce feed on glucose in urine. 4. Teaching client to prevent recurrent UTIs
bacteria or  Sexual activity 1. Assess and treat infection:
 bacterial  Poor hygiene
Collect a urine sample for urinalysis and
growth Indwelling urinary catheters culture:
 Cystoscopy (FIGURE 2)  Urinalysis: Analyzes urine for the
presence of infection (nitrate, WBCs)
 Older age:risk of
 Urine culture and sensitivity: Identifies
Factors incomplete bladder
emptying specific organisms and antibiotic
affectin sensitivity
 Constipation
g A clean-catch urine specimen should
 BPH
bladder be collected in the middle of the
 Kidney stones
emptying urine stream (midstream) after the
 Neurogenic bladder
client initiates the urine stream.
Collect urine culture before administering
UTIs cause urinary burning, frequency, and antibiotics for accurate results.
urgency. However, older adults may
experience confusion as the only symptom.
@ Collect urine culture before antibiotic

, administration. specimen, pass the specimen container into
When collecting a clean catch urine the urine stream
This study source was downloaded by 100000892998434 from CourseHero.com on 11-18-2024a1f0t:e41r:1t9hGeMcTlie-0n6t:0i0nitiates the urine
stream.
Table of Contents:
Urinary Tract Infection 3. Medications
Pyelonephritis




Urinary Tract Infections

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