NUR 524 Exam 3- GU Questions with correct
answers
Urinary |Tract |Infections |s/s |- |CORRECT |ANSWER✔✔-Dysuria, |hesitancy, |hematuria, |urgency, |
frequency, |malodorous |urine, |cloudy |urine, |fever/chills |possible, |pain |over |bladder.
Uncomplicated |UTI |- |CORRECT |ANSWER✔✔-Healthy |patient- |no |comorbidities, |not |pregnant, |
no |previous |GU |issues
Complicated |UTI |- |CORRECT |ANSWER✔✔-Childhood |UTI |hx, |urologic |abnormalities, |pregnant, |
underlying |metabolic |disorders, |UTI |in |men
Recurrent |UTI |Causes |- |CORRECT |ANSWER✔✔-Depleted |estrogen
Spermicide |use
Not |voiding |after |intercourse
Anatomical |abnormality
Reduce |fluid |intake
Neurogenic |bladder
Immunocompromised |(HIV |example)
UTI |Diagnostics |- |CORRECT |ANSWER✔✔--Urine |dipstick
-Urinalysis** |(clean |catch |mid-stream, |<1day |results)
-Leukocytes, |RBC, |Nitrates, |bacteria, |culture |and |sensitivity |(if |indicated), |CBC, |BMP
UTI |in |LTC |patients |- |CORRECT |ANSWER✔✔-Often |colonized |especially |if |using |a |Foley |
catheter- |can |not |do |a |urinalysis. |Must |have |a |sufficient |number |of |symptoms |in |addition |to |+ |
dipstick.
,Urine |dipstick- |young |people |- |CORRECT |ANSWER✔✔-So |test |in |am |bc |they |can |show |protein |
in |the |urine |after |being |active |all |day.
What |is |usually |100% |indicative |of |UTI |infection |w/dipstick |- |CORRECT |ANSWER✔✔-+Nitrates
Uncomplicated |UTI |Tx |- |CORRECT |ANSWER✔✔-Nitrofuratoin/Macrobid |100mg |BID |x5 |days
Bactrim |3 |day |course- |95% |effective |
Allergy- |fluoroquubines/bet-lactams
When |should |a |full |7-10 |day |abx |course |be |completed |for |UTI? |- |CORRECT |ANSWER✔✔-
Diabetes
Sxs |>7days
Pregnancy
>65yrs
PMH |of |polyneohritis
How |long |for |ABX |tx |of |uncomplicated |UTI? |- |CORRECT |ANSWER✔✔-3days |generally
UTI |Prevention |- |CORRECT |ANSWER✔✔-Education |
-front |to |back
-good |hygiene |
limit |use |of |foleys
Drink |liquids |to |have |clear |yellow |urine |
Empty |bladder |completely |
Constipation |increased |risk- |pressure |on |bladder
Void |after |sex
, Avoid |baths
Polynephritis |s/s |- |CORRECT |ANSWER✔✔-Flank |pain, |fever, |dysuria, |appear |ill, |in |a |lot |of |pain, |
more |severe |than |UTI, |chills, |not |voiding |often, |not |eating/drinking. |+CVA |tenderness.
Polynephritis |key |points |- |CORRECT |ANSWER✔✔-More |severe |than |UTI, |requires |IV |ABX, |
referral |possibly |to |ER, |can |cause |kidney |damage/loss |of |kidney.
Hematuria |- |CORRECT |ANSWER✔✔-Blood |in |urine
>RBC |under |microscope |in |urine
Gross |hematuria/proteinuria |predictive |of |significant |disease
Gross |hematuria |requires |what? |- |CORRECT |ANSWER✔✔-Referral |to |urology
Risk |factors |for |serious |uritourinary |tract |disease? |- |CORRECT |ANSWER✔✔->40
Smoker
Analgesic |abuse
Male
Hx |of |UTI
Hematuria |causes |- |CORRECT |ANSWER✔✔-Vigorous |exercise
Sickle |cell
Pylonephritis/polycystic |kidney
Renal |calculi
Prostatitis |
Epididymitis
answers
Urinary |Tract |Infections |s/s |- |CORRECT |ANSWER✔✔-Dysuria, |hesitancy, |hematuria, |urgency, |
frequency, |malodorous |urine, |cloudy |urine, |fever/chills |possible, |pain |over |bladder.
Uncomplicated |UTI |- |CORRECT |ANSWER✔✔-Healthy |patient- |no |comorbidities, |not |pregnant, |
no |previous |GU |issues
Complicated |UTI |- |CORRECT |ANSWER✔✔-Childhood |UTI |hx, |urologic |abnormalities, |pregnant, |
underlying |metabolic |disorders, |UTI |in |men
Recurrent |UTI |Causes |- |CORRECT |ANSWER✔✔-Depleted |estrogen
Spermicide |use
Not |voiding |after |intercourse
Anatomical |abnormality
Reduce |fluid |intake
Neurogenic |bladder
Immunocompromised |(HIV |example)
UTI |Diagnostics |- |CORRECT |ANSWER✔✔--Urine |dipstick
-Urinalysis** |(clean |catch |mid-stream, |<1day |results)
-Leukocytes, |RBC, |Nitrates, |bacteria, |culture |and |sensitivity |(if |indicated), |CBC, |BMP
UTI |in |LTC |patients |- |CORRECT |ANSWER✔✔-Often |colonized |especially |if |using |a |Foley |
catheter- |can |not |do |a |urinalysis. |Must |have |a |sufficient |number |of |symptoms |in |addition |to |+ |
dipstick.
,Urine |dipstick- |young |people |- |CORRECT |ANSWER✔✔-So |test |in |am |bc |they |can |show |protein |
in |the |urine |after |being |active |all |day.
What |is |usually |100% |indicative |of |UTI |infection |w/dipstick |- |CORRECT |ANSWER✔✔-+Nitrates
Uncomplicated |UTI |Tx |- |CORRECT |ANSWER✔✔-Nitrofuratoin/Macrobid |100mg |BID |x5 |days
Bactrim |3 |day |course- |95% |effective |
Allergy- |fluoroquubines/bet-lactams
When |should |a |full |7-10 |day |abx |course |be |completed |for |UTI? |- |CORRECT |ANSWER✔✔-
Diabetes
Sxs |>7days
Pregnancy
>65yrs
PMH |of |polyneohritis
How |long |for |ABX |tx |of |uncomplicated |UTI? |- |CORRECT |ANSWER✔✔-3days |generally
UTI |Prevention |- |CORRECT |ANSWER✔✔-Education |
-front |to |back
-good |hygiene |
limit |use |of |foleys
Drink |liquids |to |have |clear |yellow |urine |
Empty |bladder |completely |
Constipation |increased |risk- |pressure |on |bladder
Void |after |sex
, Avoid |baths
Polynephritis |s/s |- |CORRECT |ANSWER✔✔-Flank |pain, |fever, |dysuria, |appear |ill, |in |a |lot |of |pain, |
more |severe |than |UTI, |chills, |not |voiding |often, |not |eating/drinking. |+CVA |tenderness.
Polynephritis |key |points |- |CORRECT |ANSWER✔✔-More |severe |than |UTI, |requires |IV |ABX, |
referral |possibly |to |ER, |can |cause |kidney |damage/loss |of |kidney.
Hematuria |- |CORRECT |ANSWER✔✔-Blood |in |urine
>RBC |under |microscope |in |urine
Gross |hematuria/proteinuria |predictive |of |significant |disease
Gross |hematuria |requires |what? |- |CORRECT |ANSWER✔✔-Referral |to |urology
Risk |factors |for |serious |uritourinary |tract |disease? |- |CORRECT |ANSWER✔✔->40
Smoker
Analgesic |abuse
Male
Hx |of |UTI
Hematuria |causes |- |CORRECT |ANSWER✔✔-Vigorous |exercise
Sickle |cell
Pylonephritis/polycystic |kidney
Renal |calculi
Prostatitis |
Epididymitis
