Exam (elaborations)
Nurs 640 Exam 4 questions with correct answers.
- Course
- NURS 630
- Institution
- Maryville University Of St. Louis
Nurs 640 Exam 4 questions with correct answers.
[Show more]
Content preview
Nurs 640 Exam 4 questions with correct answersHematuria Correct Answer-work up: infection/anticoagulation
Urinary stone disease Correct Answer-most common Ca
s/s: hematuria/ severe colic, acute flank pain, N&V
Testing: Ultrasound or spiral non contract CT.
BPH (benign prostatic hyperplasia) Correct Answer-noncancerous
enlargement of the prostate
s/s hesitancy
DRE (digital rectal exam): enlarged prostate.
Med: alpha blockers
procedures: TURP
Acute Urinary retention Correct Answer-cause: BPH or medication
S/S: lower abdomen/ suprapubic discomfort.
urine output less than 300cc
Admit for urosepsis, malignancy, acute myelopathy, acute renal failure.
400cc leave cath in place
Most common UTI organism Correct Answer-e. coli, pseudomonas,
klebsiella, staphylococci, candida
Urine Dipstick Correct Answer-Screening test for infection with some
,limitations in diagnostic value
- Best paired with clinical history / findings
- Negative findings does not necessarily rule out
infection in symptomatic patient
- Lower detection of infection for some parameters
• Key Findings
- Leukocyte esterase (presence)
- Nitrates (presence)
- Blood (≥ 1+)
- Protein (≥ 3+)
Urine Microscopy (UA) Correct Answer-Key findings
• Pyuria
- WBCs or pus
- Cloudy urine is not necessarily pyuria
- Supports diagnosis of UTI but can have other causes and negative
results do not rule out trial of empiric antibiotics in clinically likely UTI
• WBCs
- > 5 WBCs per HPF suggests infection
• Alternatively 8,000-10,000 / mL or 8 -10 per uL (note different units)
- WBC casts indicate inflammation that may or may not be infectious
• Bacteria
- Bacteria in any amount suggests infection
, - Bacteria without pyuria can be contamination
• RBC's
- > 5 RBC's per HPF
• Elevated epithelial cells can suggest contamination
• Low bacterial count may be associated with antibiotic exposure,
urine dilution
Uncomplicated Acute Cystitis treatment Correct Answer-Cephalexin,
nitrofurantoin or trimethoprimsulfamethoxazole
- Sulfa allergy: Ciprofloxacin
Acute Pyelonephritis treatment Correct Answer-• 7-14 days therapy
(non-pregnant)
- 14 for inpatient
• Empiric first line options (examples)
- Oral: Ciprofloxacin, levofloxacin or trimethoprimsulfamethoxazole
• Allergy -Bactrim or beta lactam
- Inpatient: IV ampicillin + aminoglycoside
• Consider imaging if fever persists > 48 hrs
• Follow-up culture after treatment
• Tailor to culture results, when available
Acute Bacterial Prostatitis Correct Answer-prostate infection
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller cracker. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $15.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
67866 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now