NURS 536 Final Exam Questions And All Correct Answers.
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Course
NURS 5366
Institution
NURS 5366
Risk factors for UTI - Answer •Sexually active
•Postmenopausal
•Woman who uses birth control methods such as diaphragms or spermicide
•Those individuals who have trouble emptying your bladder completely, such as spinal cord injury or those with nerve damage around the bladder
•Urin...
UTI Treatments - High risk - Answer High risk patients:
*obtain culture
Outpatient management of complicated infection
,+/-Following the dose of the parenteral agent, options include the following:
•Cipro 500mg BID or 1000mg ER once daily or Levaquin 750mg once daily 7 to 10 days
•Trimethoprim-sulfamethoxazole - one double-strength (160 mg/800 mg) tablet orally twice daily for 7
to 10 days
•Amoxicillin-clavulanate - 875 mg orally twice daily for 10 to 14 days
•Cefpodoxime - 200 mg orally twice daily for 10 to 14 days
•Cefdinir - 300 mg orally twice daily for 10 to 14 days
•Cefadroxil - 1 g orally twice daily for 10 to 14 days
Pyelonephritis - Answer inflammation of the kidney and renal pelvis
Pyleonephritis - Who? - Answer •In females: An elevated incidence in girls aged 0-4 years, a peak in
women 15-35 years of age, and a gradual increase after age 50 years to another peak at 80 years of age.
Pyelonephritis Symptoms - Answer •Fever - This is not always present, 103°F (39.4°C)
•Costovertebral angle pain
•Nausea and/or vomiting - Vary in frequency and intensity, from absent to severe; anorexia is common in
patients with acute pyelonephritis
Pyelonephritis - Clinical findings - Answer Urinalysis can include the following:
•Dipstick leukocyte esterase test (pyuria)
•Nitrite production
•Examination for hematuria (gross and microscopic) and proteinuria
Pyelonephritis Treatments - Answer Inpatient care includes the following:
•Monitoring of urine and blood culture results
•Monitor renal function
•Monitoring of comorbid conditions for deterioration
•Maintenance of hydration status with IV fluids until hydration can be maintained with oral intake
•IV antibiotics until significant symptomatic improvement occur; convert to an oral regimen tailored to
urine or blood culture results
Urolithiasis - Answer Kidney stones:
-Calcium oxalate
-Calcium phosphate
Urolithiasis Symptoms - Answer •Range from severe pain to asymptomatic
•Colicky flank pain (usually unilateral) radiating anteriorly to the groin
•Urinary frequency and dysuria
•Hematuria
•Nausea and/or vomiting
•Fever/Chills
•Malodorous urine
Urolithiasis Diagnosis - Answer •Imaging:
•Gold standard = CT scan abdomen and pelvis
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