NURS 620 Maryville Exam 3 Questions and Answers Graded A+
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Course
NURS 620 Adult 1
Institution
NURS 620 Adult 1
What are potential causes of chronic infection/UTI? -obstructions -
antibiotic-resistant bacteria ---- presence of multiple strains of bacteria
What additional HPI questions would you want to ask a patient with urinary complaints
(dyuria, urgency, etc.)? -fever
-N/V
-Pain (abdominal, pelvic, ...
NURS 620 Maryville Exam 3 Questions and Answers
Graded A+
What are potential causes of chronic infection/UTI? ✔✔-obstructions -
antibiotic-resistant bacteria ---- presence of multiple strains of bacteria
What additional HPI questions would you want to ask a patient with urinary complaints
(dyuria, urgency, etc.)? ✔✔-fever
-N/V
-Pain (abdominal, pelvic, back)
-LMP
-Contraceptive use
-Sexual partners
-hygeine habits
-Vaginal discharge/irritation
-hx of UTIs
What are possible differential diagnosis of dysuria? ✔✔-Usually bladder problem
-UTI
-Pyleonephritis
-STI
-inflammatory lesions of the prostate, bladder, & urethra
-Bladder tumors
Chronic renal failure
-nephrolitiasis
-vaginitis/prostatitis
-Prolapsed uterus
-pelvic peritonitis
,-cancer of cervix or prostate
,What is the easiest, most noninvasive, and most economical way to identify UTI and/or
other renal problems? ✔✔UA
Infection that occurs when the normal sterile condition of the urinary tract is invaded
by pathogenic bacteria ✔✔Lower urinary tract infection
Name the types of lower urinary tract infections. ✔✔Urethra: urethritis
Bladder: cystitis
Bladder wall; Intersitital cystitis (IC)
Prostate Gland: Prostatitis
Acute lower urinary tract infections are characterized by what? ✔✔Onset of UTI in a
previously symptom-free individual.
What tests would you order to diagnose lower UTI? ✔✔UA C&S
What results would make you suspect UTI? ✔✔-cloudy urine clarity
-positive leukocytes esterase
-positive nitrites (signals gram - organism, may have false -)
-Protein: 1+-4+ (kidney problems)
-Alkaline urine (PH 6.5-8)
-RBCs may be present
Who should receive prophylaxis for recurrent UTI? ✔✔-2 or more symptomatic UTIs w/in 6
months
-3 or > within 12 months
When should prophylaxis for recurrent UTI be intiated? ✔✔After previous UTI resolution is
confirmed
, Antibiotic regimin for recurrent UTI prophylaxis. ✔✔-Daily dosing for 6 months
-Post-coital prophylaxis
-self medication (3-4 days of therapy when symptoms being
What is the clinical presentation of uncomplicated UTI? ✔✔-Dysuria
-urinary frequency & urgency
-hematuria
-low back or suprapubic pain/tenderness
-elderly=AMS
WHat is the oral treatment for acute uncomplicated UTI? ✔✔-Bactrim 1 DS BID x 3
-Cefdinir 500 mg BID x 5
-Nitrofurantoin 100 mg BID x 5
Patient education for uncomplicated UTI ✔✔•Complete the antibiotic regimen
•Proper hygiene
•Drink plenty of water (8 - 8oz glasses)
•Cotton undergarments
•Empty bladder after sexual intercourse
•Empty bladder frequently
•No tub baths or bubble baths
Non-cyclic pain of 6 or more months duration that is localized to the pelvis and is
sufficient severity to cause functional disability ✔✔Chronic Pelvic Pain
3 most common disorders causing Chronic pelvic pain? ✔✔Endometriosis
Intersitial cystitis
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