Module 4 Nurs 5433
Study online at https://quizlet.com/_gdkew8
1. What are the most common gram negative causative agents for UTI?: E. Coli,
klebsiella, enterobacter, proteus mirabilis
2. What is the most common gram positive causative organism for UTI?: Staph
saprophyticus
3. Name 5 risk factors for UTI: recent UTI, recent sexual activity (and not voiding
after serx), DM, abnormalities of urinary tract, recent abx use, poor hygiene, estro-
gen deficiency
4. What are common s/s of UTI?: dysuria, urgency, cloudy and foul smelling urine,
hematuria, suprapubic tenderness
5. How can you distinguish pyelonephritis from a UTI?: pyelonephritis will have
flank pain, fever, and signs of sepsis
typically no fever is present with UTI
6. What are the common s/s of pyelonephritis?: fever 101.3 or greater, rigors,
flank pain, signs of sepsis
7. Why do pregnant women with UTI (even is asymptomatic) need to be treat-
ed?: UTI can induce premature labor
Can elevate BP (preeclampsia)
8. What is the most important diagnostic test to run for UTIs?: urine sample for
c/s
9. What do white blood cell casts on UA indicate?: pyelonephritis
10. When can you treat empirically for pyelonephritis without c/s results?: -
fever over 101.3
flank pain
pyuria
hematuria
when cultures get back, ensure that they are on the correct abx
11. What test can you do in the office for UTI?: urine dipstick
12. What results from a urine dipstick would indicate infection?: nitrates and
leukocytes
this may be the only test needed unless you suspect pyelonephritis, they have had
a recent UTI or abx therapy or been hospitalized recently
13. What is your next step in action if a patient presents with dysuria, frequen-
cy, and urgency, but the urine dipstick shows no nitrates or leukocytes?: run
a c/s
1/9
, Module 4 Nurs 5433
Study online at https://quizlet.com/_gdkew8
because some strains of proteus, klebsiella, E. coli, and enterobacter do not produce
nitrates
14. Which populations ALWAYS need a c/s when you suspect a UTI: Men,
pregnant women, recently hospitalized patients, children
15. What diagnoses should you consider if you have a patient with pyuria but a
negative urine culture?: bladder stone, bladder tumor, interstitial cystitis or bladder
obstruction
16. What is the imaging of choice to evaluate urinary problems?: Sonogram
17. When is it recommend to perform a sonogram for urinary issues?: acute
pyelo in a male, acute pyelo in women with fever even after 2 days on abx, women
who has had 4 UTI in last year, failure to clear infection after course of abx, renal
mass
18. What is a renal ultrasound used for in pediatrics?: to determine if there is an
obstruction
19. What is the purpose of a voiding cystourethrogram?: diagnose vesicoureter-
al reflux or other structural abnormalities
20. What are causative agents for asymptomatic bacteriuria: E. Coli, proteus,
klebsiella, enterobacter or staph saprophyticus
21. What are the diagnostics needed to diagnose asymptomatic bacteriuria?-
: two consecutive midstream clean catch UA that both show WBC
22. When is it appropriate to treat asymptomatic bacteriuria?: pregnancy and
immunocompromised patients (HIV)
23. What medications are acceptable to treat for UTI in pregnancy?: amoxicillin,
cephalosporins, fosfomycin
24. What is the first line treatment for UTI?: bactrim 400/80 BID for 10-14 days
25. When are fluoroquinolones used in UTI?: complicated UTI... it is NOT first line
treatment. cannot give to kids or pregnant women
26. What is the dose for cipro in treatment of UTI?: acute uncomplicated--250mg
BID for 3 days
mild/moderate--250mg BID for 7-14 days
severe--500mg BID for 7-14 days
27. What is the doses of levofloxacin for treatment of UTI?: acute uncomplicat-
ed--250mg daily for 3 days
complicated--250 daily for 10 days or 750 for 5 days
28. What is the doses of ofloxacin for treatment of UTI?: acute uncomplicat-
ed--200mg BID for 3 days
complicated--200 daily for 10 days
2/9
Study online at https://quizlet.com/_gdkew8
1. What are the most common gram negative causative agents for UTI?: E. Coli,
klebsiella, enterobacter, proteus mirabilis
2. What is the most common gram positive causative organism for UTI?: Staph
saprophyticus
3. Name 5 risk factors for UTI: recent UTI, recent sexual activity (and not voiding
after serx), DM, abnormalities of urinary tract, recent abx use, poor hygiene, estro-
gen deficiency
4. What are common s/s of UTI?: dysuria, urgency, cloudy and foul smelling urine,
hematuria, suprapubic tenderness
5. How can you distinguish pyelonephritis from a UTI?: pyelonephritis will have
flank pain, fever, and signs of sepsis
typically no fever is present with UTI
6. What are the common s/s of pyelonephritis?: fever 101.3 or greater, rigors,
flank pain, signs of sepsis
7. Why do pregnant women with UTI (even is asymptomatic) need to be treat-
ed?: UTI can induce premature labor
Can elevate BP (preeclampsia)
8. What is the most important diagnostic test to run for UTIs?: urine sample for
c/s
9. What do white blood cell casts on UA indicate?: pyelonephritis
10. When can you treat empirically for pyelonephritis without c/s results?: -
fever over 101.3
flank pain
pyuria
hematuria
when cultures get back, ensure that they are on the correct abx
11. What test can you do in the office for UTI?: urine dipstick
12. What results from a urine dipstick would indicate infection?: nitrates and
leukocytes
this may be the only test needed unless you suspect pyelonephritis, they have had
a recent UTI or abx therapy or been hospitalized recently
13. What is your next step in action if a patient presents with dysuria, frequen-
cy, and urgency, but the urine dipstick shows no nitrates or leukocytes?: run
a c/s
1/9
, Module 4 Nurs 5433
Study online at https://quizlet.com/_gdkew8
because some strains of proteus, klebsiella, E. coli, and enterobacter do not produce
nitrates
14. Which populations ALWAYS need a c/s when you suspect a UTI: Men,
pregnant women, recently hospitalized patients, children
15. What diagnoses should you consider if you have a patient with pyuria but a
negative urine culture?: bladder stone, bladder tumor, interstitial cystitis or bladder
obstruction
16. What is the imaging of choice to evaluate urinary problems?: Sonogram
17. When is it recommend to perform a sonogram for urinary issues?: acute
pyelo in a male, acute pyelo in women with fever even after 2 days on abx, women
who has had 4 UTI in last year, failure to clear infection after course of abx, renal
mass
18. What is a renal ultrasound used for in pediatrics?: to determine if there is an
obstruction
19. What is the purpose of a voiding cystourethrogram?: diagnose vesicoureter-
al reflux or other structural abnormalities
20. What are causative agents for asymptomatic bacteriuria: E. Coli, proteus,
klebsiella, enterobacter or staph saprophyticus
21. What are the diagnostics needed to diagnose asymptomatic bacteriuria?-
: two consecutive midstream clean catch UA that both show WBC
22. When is it appropriate to treat asymptomatic bacteriuria?: pregnancy and
immunocompromised patients (HIV)
23. What medications are acceptable to treat for UTI in pregnancy?: amoxicillin,
cephalosporins, fosfomycin
24. What is the first line treatment for UTI?: bactrim 400/80 BID for 10-14 days
25. When are fluoroquinolones used in UTI?: complicated UTI... it is NOT first line
treatment. cannot give to kids or pregnant women
26. What is the dose for cipro in treatment of UTI?: acute uncomplicated--250mg
BID for 3 days
mild/moderate--250mg BID for 7-14 days
severe--500mg BID for 7-14 days
27. What is the doses of levofloxacin for treatment of UTI?: acute uncomplicat-
ed--250mg daily for 3 days
complicated--250 daily for 10 days or 750 for 5 days
28. What is the doses of ofloxacin for treatment of UTI?: acute uncomplicat-
ed--200mg BID for 3 days
complicated--200 daily for 10 days
2/9
