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68c Ph2 Exam7
Infectious Disorders of the Urinary Tract/ Urinary Obstruction
| Question | Answer |
|---|---|
| What organism most commonly causes UTIs? | Gram-negative bacteria e.g. E. Coli |
| what are some medical managements for a UTI? | Medical management, Eliminate bacteria, Urinary antiseptics, Remove obstructions, intermittent catheterization |
| Which are some nursing intervention for preventing UTI? | Cleanse the perineum, Void every 2 to 3 hours, Administer medication as prescribed, Provide adequate fluid intake |
| what are the Four classes of urinary antiseptics? | -Quinolone (Nalidixic acid)... -Nitrofurantoin (Macrodantin)... -Methenamine (Mandelamine)... -Fluoroquinolone (Norfloxin/ Noroxin) |
| the two types of urethritis are.... | 1. (NSU) Nonspecific urethritis (Candidiasis or Trichomonas infections) 2.Gonorrhea urethritis |
| infection more common in men? | urethritis |
| during patient teach for urethritis, the nurse should include... | Avoid sexual activity until the infection clears, take all medications as ordered, use condoms for protection to prevent reinfection |
| what is cystitis? | inflammation of the wall of the urinary bladder. |
| common signs and symptoms assosiated with Cystitis? | -Dysuria -urinary frequency -pyuria |
| who's first name in the 15-001 class is Medinitomj? | Bautista.... :) |
| A cronic pelvic pain disorder with recurring discomfort or pain in the urinary bladder and surrounding region.... | Interstitial Cystitis (IC) |
| what is Pyelonephritis? | inflammation of the structures of the kidney (renal pelvis, renal tubules, and interstitial tissue |
| Pyelonephritis is almost always caused by ________ (what bacteria?) | E. Coli |
| Who in the 15-001 class is from Montana? | Hout! |
| what are some Clinical Manifestations of Pyelonephritis? | -Chills, fever, and severe fatigue -Flank pain -AZOTEMIA |
| where will a patient with pyelonephritis feel pain? | in the costovertebral angle (CVA) |
| the inflammation and/or infection of the prostate gland is called.......... | prostatitis |
| Medical Management for prostatitis | Broad-spectrum antibiotics for 4 to 16 weeks, Anti-inflammatories, Opioids |
| What is the duration of antibiotic therapy for a patient with prostatitis? | 4 to 16 weeks |
| patient teaching for ACUTE prostatitis must included.... | avoid sexual arousal and intercourse so the prostate can rest however, intercourse may be beneficial in the treatment of chronic prostatitis |
| what does BPH stand for? | Benign Prostatic Hyperplasia. Its, an Age-associated prostate gland enlargement that can cause urination difficulty |
| who had right shoulder surgery from the 14-006, I mean 15-001 class? | Hise! >.< |
| What causes a urinary obstruction? | Structures,kinks, Cysts,tumors, Calculi BPH |
| Continued urge to void after voiding, Frequently voiding small amounts of urine, Pain- from dull flank through incapacitating pain, Nausea with pain, are all subjective data for__________ | a urinary obstruction |
| what is the KUB diagnostic test used for in a suspected urinary obstruction? | to identify size and location of obstruction |
| what is a Renal ultrasound and IVP used for in a suspected urinary obstruction? | to Identify structural changes |
| When do patients with a urinary obstruction seek treatment? | When urinating is difficult or painful. |
| what is Hydronephrosis ? | -Dilation of the renal pelvis and calyces -Caused by an obstruction urinary tract -Pressure builds behind the obstruction -Renal pelvis and ureters dilate and hypertrophy -Prolonged pressure causes renal fibrosis and loss of function |
| What is the minimum urine output that patient's should maintain? | 30ml/hour. |
| List conditions that predispose patients to the development of renal calculi. | -Immobility. -Hyperparathyroidism. -Recurrent UTI. -Dehydration. -Excessive intake of vitamin D/milk products. -Osteoporosis. |
| disorder that includes Formation of urinary calculi in any area of the urinary tract? | Urolithiasis . |
| Nephrolithiasis are kidney stones, where? | in the minor and mayor calyces of the kidneys |
| Ureterolithiasis are kidney stones, where? | in the ureter |
| clinical manifestation for cystolithiasis | Hematuria, pain |
| What are three potential treatments for calculi of the renal system? | Cystoscopy, Surgical removal, Chemolysis, or Extracorporeal shock wave lithotripsy (ESWL). |
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AEGO
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