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Med/Surg Chapter 49
Management of Patients with Urinary Disorders
| Question | Answer |
|---|---|
| 50% of all hospital-acquired infections are UTIs, and in the majority of cases these are _________ | catheter-associated urinary tract infections (CAUTI) |
| The most common site of a lower UTI. | bladder |
| The type of incontinence that results from a sudden increase in intra-abdominal pressure | stress incontinence |
| The major complication of neurogenic bladder. | infection |
| The major cause of death for patients with neurologic impairment of the bladder. | kidney failure |
| A woman is taught to catheterize herself by inserting the catheter ____ inches into the urethra. | 3 |
| A major clinical manifestation of renal stones. | pain |
| A patient comes to the clinic suspecting a possible UTI. Which symptoms does the nurse identify from the assessment? Rebound tenderness at McBurney point Output of 200mL with each voiding Cloudy urine Urine with a specific gravity of 1.005-1.022 | cloudy urine |
| A patient is diagnosed with a UTI and is prescribed an antibiotic. Which first line fluoroquinolone does the nurse administer as prescribed? Trimethoprim-sulfamethoxazole Ciprofloxacin Nitrofurantoin Phenazopyridine | Ciprofloxacin |
| A patient with a UTI complains of burning & pain when urinating. Which urinary analgesic does the nurse administer as prescribed for relief of these symptoms? Sulfamethoxazole/trimethoprim Levofloxacin Phenazopyridine Amoxicillin | Phenazopyridine |
| Education is given to a patient with urolithiasis about preventive measures to avoid another occurrence. What is included? Increase fluid intake Participate in strenuous exercises Add calcium supplements to the diet Limit voiding to every 6-8 hours | Increase fluid intake |
| Education program for tech in a long term facility to decrease number of UTIs in the female population. What is included? SATA Insert catheters in continent patients Good hand hygiene Frequent toileting Provide perineal care Encourage wearing briefs | Good hand hygiene Frequent toileting Provide perineal care |
| A patient with dementia in the long-term care facility has a change in cognitive function. Which condition is likely occurring? a UTI a stroke an aneurysm fecal impaction | a UTI |
| Education provided to female patient with UTI regarding the pharmacologic treatment. What is included? Take antibiotic as well as antifungal for possible yeast infection Take antibiotic x 3 days as prescribed Take with grapefruit juice | Take antibiotic x 3 days as prescribed |
| A patient complains of urinating in her pants every time she sneezes or coughs. Which type of incontinence is she experiencing? Urge incontinence Functional incontinence Stress incontinence Iatrogenic incontinence | stress incontinence |
| Patient treated for uric acid renal stones. Which type of diet does the nurse discuss with patient? Low calcium diet High protein diet Low phosphorus diet Low purine diet | Low purine diet |
| Patient is status post surgery with creation of ileal conduit for urinary diversion. Which is a priority intervention for postop care? Turn q 2 hours Pain medication q 2 hours Monitor hourly urine output Clean stoma with soap and water each void | Monitor hourly output |
Created by:
mcnabb
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