UTI- Pearson
"I will avoid giving my child citrus juices to drink."
Avoiding citrus juices is recommended for the prevention of UTI. It is unnecessary to redo
the toilet training of a child. A toilet trained child may regress during the illness, but it should
be considered a temporary situation. Avoiding excess dairy products is a recommendation to
prevent UTIs; however, the child's nutritional needs still need to be met. Transitioning the
child to soy milk may not provide the nutritional requirements of the child. Antiseptic
solutions are used for catheter care, and their use on the perineal tissue can cause irritation.
Cleansing with nonsterile gauze moistened with tap water and mild soap is as effective as
using a prepackaged sterile towelette and is gentler on the mucous membranes.
The nurse is teaching a parent preventive measures for decreasing the risk of urinary tract
infections in their child.
Which statement by the parent demonstrates an understanding of the preventive teaching?
"I will have to redo the toilet training of my child after this to prevent another infection."
"I will use soy milk instead of dairy milk to prevent future UTIs."
"I will avoid giving my child citrus juices to drink."
"I will use an antiseptic disposable wipe to cleanse my child after a bathroom visit to avoid
future UTIs."
Urine Gram stain
Although a culture and sensitivity is ordered to identify the infecting organism and its
sensitivity to particular antibiotic(s), it takes 24-48 hours for the culture and up to another
24-48 hours to run the sensitivity. A Gram stain of the urine may be done more quickly to
identify the infecting organism by type and can assist in determination of the use of either a
gram-positive or gram-negative effective antibiotic. A urinalysis assesses for pyuria, bacteria,
and blood cells in the urine. It is not used to determine the infecting organism. A WBC count
with a differential detects typical changes associated with infection.
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?
Urinalysis
WBC count with a differential
Culture and sensitivity
,Urine Gram stain
"Did you finish your prescribed antibiotic for the UTI?"
Based on the assessment findings, it is important to determine if the patient completed the
full course of the prescribed antibiotic. If the course of treatment with an antibiotic remains
incomplete, the bacteria may continue to invade the renal system, resulting in an upper UTI
and pyelonephritis. The patient is instructed to completely empty the bladder every 3-4
hours. Adequate fluid intake helps clear bacteria from the urinary system, but does not
eradicate it. A urine sample will be obtained to analyze the color and odor of the urine.
A patient recently treated for a urinary tract infection (UTI) presents to the clinic. Significant
findings include a temperature of 102.1°F (38.9°C) and flank tenderness.
Which question asked by the nurse predominately relates to the clinical history and current
assessment findings in the patient?
"Do you completely empty your bladder every 6 hours?"
"Have you noticed any change in the color or odor of your urine?"
"How much fluid did you drink in the past 24 hours?"
"Did you finish your prescribed antibiotic for the UTI?"
Ensure the child is voiding every 3-4 hours each day.
Children typically void 5-6 times a day. Infrequent voiding, which is common in school-age
children, results in incomplete emptying of the bladder and urinary stasis. Voluntarily
suppressing the desire to urinate is a predisposing factor, because retention overdistends
the bladder and can lead to an infection. The symptoms of infection depend on the location
and the patient's age. A child with a UTI may not present with dysuria. Avoiding bubble baths
helps maintain the integrity of the perineum and prevents UTIs. It is not necessary for a child
to wash the hands prior to going to the bathroom.
The nurse is providing discharge instructions to the parents of a female child diagnosed with
a UTI.
Which information is most important for the nurse to include in the teaching to prevent future
UTIs?
Give the child a bubble bath every day.
Ensure the child is voiding every 3–4 hours each day.
Notify the provider if the child experiences discomfort during urination.
Teach the child to wash the hands before and after using the bathroom.
, Cystitis
The combination of abdominal or suprapubic pain and dysuria are symptoms of cystitis.
Clinical manifestations of pyelonephritis include chills and fever, malaise, vomiting, flank
pain, costovertebral tenderness, and urinary frequency; symptoms of cystitis also may be
present. Clinical manifestations of epididymitis and prostatitis include perineal, sacral, or
scrotal pain and tenderness; difficulty voiding; and fever.
The nurse is caring for a patient who has abdominal pain and painful urination.
Which diagnosis should the nurse suspect based on these symptoms?
Epididymitis
Cystitis
Pyelonephritis
Prostatitis
Measuring intake and output
The patient experiencing the nursing diagnosis of impaired urinary elimination would benefit
most from the nurse measuring intake and output. Monitoring elimination provides
information on the patient's fluid status and renal function. Balancing rest with activity,
analgesics, and warm sitz baths are interventions for pain.
The nurse is caring for a patient diagnosed with a urinary tract infection as a result of
impaired urinary elimination.
Which nursing intervention is appropriate for a patient with the nursing diagnosis of impaired
urinary elimination?
Measuring intake and output
Recommending warm sitz baths
Administering analgesics
Balancing rest with activity
Urinary analgesic
A urinary analgesic is prescribed to treat the painful spasms that are associated with UTIs.
Glycopeptide, sulfonamide, and penicillin antibiotics are commonly used in the treatment of
the organism that caused the UTI, not the treatment of pain.
A patient diagnosed with a urinary tract infection (UTI) reports the pain at 7 on a 0-10 scale.
"I will avoid giving my child citrus juices to drink."
Avoiding citrus juices is recommended for the prevention of UTI. It is unnecessary to redo
the toilet training of a child. A toilet trained child may regress during the illness, but it should
be considered a temporary situation. Avoiding excess dairy products is a recommendation to
prevent UTIs; however, the child's nutritional needs still need to be met. Transitioning the
child to soy milk may not provide the nutritional requirements of the child. Antiseptic
solutions are used for catheter care, and their use on the perineal tissue can cause irritation.
Cleansing with nonsterile gauze moistened with tap water and mild soap is as effective as
using a prepackaged sterile towelette and is gentler on the mucous membranes.
The nurse is teaching a parent preventive measures for decreasing the risk of urinary tract
infections in their child.
Which statement by the parent demonstrates an understanding of the preventive teaching?
"I will have to redo the toilet training of my child after this to prevent another infection."
"I will use soy milk instead of dairy milk to prevent future UTIs."
"I will avoid giving my child citrus juices to drink."
"I will use an antiseptic disposable wipe to cleanse my child after a bathroom visit to avoid
future UTIs."
Urine Gram stain
Although a culture and sensitivity is ordered to identify the infecting organism and its
sensitivity to particular antibiotic(s), it takes 24-48 hours for the culture and up to another
24-48 hours to run the sensitivity. A Gram stain of the urine may be done more quickly to
identify the infecting organism by type and can assist in determination of the use of either a
gram-positive or gram-negative effective antibiotic. A urinalysis assesses for pyuria, bacteria,
and blood cells in the urine. It is not used to determine the infecting organism. A WBC count
with a differential detects typical changes associated with infection.
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?
Urinalysis
WBC count with a differential
Culture and sensitivity
,Urine Gram stain
"Did you finish your prescribed antibiotic for the UTI?"
Based on the assessment findings, it is important to determine if the patient completed the
full course of the prescribed antibiotic. If the course of treatment with an antibiotic remains
incomplete, the bacteria may continue to invade the renal system, resulting in an upper UTI
and pyelonephritis. The patient is instructed to completely empty the bladder every 3-4
hours. Adequate fluid intake helps clear bacteria from the urinary system, but does not
eradicate it. A urine sample will be obtained to analyze the color and odor of the urine.
A patient recently treated for a urinary tract infection (UTI) presents to the clinic. Significant
findings include a temperature of 102.1°F (38.9°C) and flank tenderness.
Which question asked by the nurse predominately relates to the clinical history and current
assessment findings in the patient?
"Do you completely empty your bladder every 6 hours?"
"Have you noticed any change in the color or odor of your urine?"
"How much fluid did you drink in the past 24 hours?"
"Did you finish your prescribed antibiotic for the UTI?"
Ensure the child is voiding every 3-4 hours each day.
Children typically void 5-6 times a day. Infrequent voiding, which is common in school-age
children, results in incomplete emptying of the bladder and urinary stasis. Voluntarily
suppressing the desire to urinate is a predisposing factor, because retention overdistends
the bladder and can lead to an infection. The symptoms of infection depend on the location
and the patient's age. A child with a UTI may not present with dysuria. Avoiding bubble baths
helps maintain the integrity of the perineum and prevents UTIs. It is not necessary for a child
to wash the hands prior to going to the bathroom.
The nurse is providing discharge instructions to the parents of a female child diagnosed with
a UTI.
Which information is most important for the nurse to include in the teaching to prevent future
UTIs?
Give the child a bubble bath every day.
Ensure the child is voiding every 3–4 hours each day.
Notify the provider if the child experiences discomfort during urination.
Teach the child to wash the hands before and after using the bathroom.
, Cystitis
The combination of abdominal or suprapubic pain and dysuria are symptoms of cystitis.
Clinical manifestations of pyelonephritis include chills and fever, malaise, vomiting, flank
pain, costovertebral tenderness, and urinary frequency; symptoms of cystitis also may be
present. Clinical manifestations of epididymitis and prostatitis include perineal, sacral, or
scrotal pain and tenderness; difficulty voiding; and fever.
The nurse is caring for a patient who has abdominal pain and painful urination.
Which diagnosis should the nurse suspect based on these symptoms?
Epididymitis
Cystitis
Pyelonephritis
Prostatitis
Measuring intake and output
The patient experiencing the nursing diagnosis of impaired urinary elimination would benefit
most from the nurse measuring intake and output. Monitoring elimination provides
information on the patient's fluid status and renal function. Balancing rest with activity,
analgesics, and warm sitz baths are interventions for pain.
The nurse is caring for a patient diagnosed with a urinary tract infection as a result of
impaired urinary elimination.
Which nursing intervention is appropriate for a patient with the nursing diagnosis of impaired
urinary elimination?
Measuring intake and output
Recommending warm sitz baths
Administering analgesics
Balancing rest with activity
Urinary analgesic
A urinary analgesic is prescribed to treat the painful spasms that are associated with UTIs.
Glycopeptide, sulfonamide, and penicillin antibiotics are commonly used in the treatment of
the organism that caused the UTI, not the treatment of pain.
A patient diagnosed with a urinary tract infection (UTI) reports the pain at 7 on a 0-10 scale.
