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concept of nursing 1
Infections of the Urinary Tract
| Question | Answer |
|---|---|
| Which conditions may put a patient at risk for developing a fungal urinary tract infection (UTI)? | -AIDS diagnosis - Renal failure -Chronic bacterial infections |
| Which infections of the urinary tract may manifest systemically as symptoms of fever, chills, and flank pain? | -Upper urinary tract infection (UTI) -Acute pyelonephritis |
| Which urinary symptoms would indicate to the nurse that a urinary tract infection (UTI) has progressed to renal failure? | -Oliguria -Flank pain |
| The nurse is caring for an older adult patient who complains of cloudy urine. Urinalysis indicates a bacteria count of 5 × 102 CFU/mL. The nurse understands that which treatment is most appropriate for this patient? | Oral nitrofurantoin therapy |
| A patient presents with a fever of 102° F, fatigue, nausea, and urinary urgency. On percussion during physical examination, the nurse notes costovertebral tenderness on the left side. Urinalysis indicates bacteriuria. | -- |
| Which provider order would the nurse implement first? | Administer intravenous (IV) ampicillin. |
| A patient presents with urinary pain and urgency but no systemic symptoms. Urinalysis indicates a bacteria count of 103 CFU/mL. The patient’s chart indicates no coexisting obstruction or health concern. | -- |
| However, the patient has been seen for urinary tract infections (UTIs) five times in the last year. Which antibiotic should the nurse expect the provider to prescribe for this patient? | Ciprofloxacin |
| A patient presents with suprapubic pain, fever, and chills. The nurse notes heart rate of 112 beats/min, blood pressure of 146/88 mm Hg, and oxygen saturation of 100%. Which assessment findings would be most concerning? | Elevated white blood cell (WBC) count |
| A patient who is 5’5” and 180 lb is diagnosed with a urinary tract infection (UTI). The patient reports drinking 50 ounces of water a day and regular bowel movements and urination throughout the day. | -- |
| Which additional information should the nurse provide to the patient to help prevent future infections? | Tell patient to increase water intake to 90 ounces per day. |
| The nurse is caring for a patient being treated with ciprofloxacin for a catheter-associated urinary tract infection (UTI). Which assessment finding would be most concerning to the nurse? | Costovertebral angle (CVA) tenderness |
Created by:
Lightnning54
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