NUR 524 Exam 3- GU questions with
100% correct answers rated A+
Urinary Tract Infections s/s - ANS ✔✔Dysuria, hesitancy, hematuria, urgency, frequency,
malodorous urine, cloudy urine, fever/chills possible, pain over bladder.
Uncomplicated UTI - ANS ✔✔Healthy patient- no comorbidities, not pregnant, no previous GU
issues
Complicated UTI - ANS ✔✔Childhood UTI hx, urologic abnormalities, pregnant, underlying
metabolic disorders, UTI in men
Recurrent UTI Causes - ANS ✔✔Depleted estrogen
Spermicide use
Not voiding after intercourse
Anatomical abnormality
Reduce fluid intake
Neurogenic bladder
Immunocompromised (HIV example)
UTI Diagnostics - ANS ✔✔-Urine dipstick
-Urinalysis** (clean catch mid-stream, <1day results)
-Leukocytes, RBC, Nitrates, bacteria, culture and sensitivity (if indicated), CBC, BMP
,UTI in LTC patients - ANS ✔✔Often colonized especially if using a Foley catheter- can not do a
urinalysis. Must have a sufficient number of symptoms in addition to + dipstick.
Urine dipstick- young people - ANS ✔✔So test in am bc they can show protein in the urine after
being active all day.
What is usually 100% indicative of UTI infection w/dipstick - ANS ✔✔+Nitrates
Uncomplicated UTI Tx - ANS ✔✔Nitrofuratoin/Macrobid 100mg BID x5 days
Bactrim 3 day course- 95% effective
Allergy- fluoroquubines/bet-lactams
When should a full 7-10 day abx course be completed for UTI? - ANS ✔✔Diabetes
Sxs >7days
Pregnancy
>65yrs
PMH of polyneohritis
How long for ABX tx of uncomplicated UTI? - ANS ✔✔3days generally
UTI Prevention - ANS ✔✔Education
-front to back
-good hygiene
limit use of foleys
Drink liquids to have clear yellow urine
Empty bladder completely
Constipation increased risk- pressure on bladder
, Void after sex
Avoid baths
Polynephritis s/s - ANS ✔✔Flank pain, fever, dysuria, appear ill, in a lot of pain, more severe
than UTI, chills, not voiding often, not eating/drinking. +CVA tenderness.
Polynephritis key points - ANS ✔✔More severe than UTI, requires IV ABX, referral possibly to
ER, can cause kidney damage/loss of kidney.
Hematuria - ANS ✔✔Blood in urine
>RBC under microscope in urine
Gross hematuria/proteinuria predictive of significant disease
Gross hematuria requires what? - ANS ✔✔Referral to urology
Risk factors for serious uritourinary tract disease? - ANS ✔✔>40
Smoker
Analgesic abuse
Male
Hx of UTI
Hematuria causes - ANS ✔✔Vigorous exercise
Sickle cell
Pylonephritis/polycystic kidney
Renal calculi
Prostatitis
100% correct answers rated A+
Urinary Tract Infections s/s - ANS ✔✔Dysuria, hesitancy, hematuria, urgency, frequency,
malodorous urine, cloudy urine, fever/chills possible, pain over bladder.
Uncomplicated UTI - ANS ✔✔Healthy patient- no comorbidities, not pregnant, no previous GU
issues
Complicated UTI - ANS ✔✔Childhood UTI hx, urologic abnormalities, pregnant, underlying
metabolic disorders, UTI in men
Recurrent UTI Causes - ANS ✔✔Depleted estrogen
Spermicide use
Not voiding after intercourse
Anatomical abnormality
Reduce fluid intake
Neurogenic bladder
Immunocompromised (HIV example)
UTI Diagnostics - ANS ✔✔-Urine dipstick
-Urinalysis** (clean catch mid-stream, <1day results)
-Leukocytes, RBC, Nitrates, bacteria, culture and sensitivity (if indicated), CBC, BMP
,UTI in LTC patients - ANS ✔✔Often colonized especially if using a Foley catheter- can not do a
urinalysis. Must have a sufficient number of symptoms in addition to + dipstick.
Urine dipstick- young people - ANS ✔✔So test in am bc they can show protein in the urine after
being active all day.
What is usually 100% indicative of UTI infection w/dipstick - ANS ✔✔+Nitrates
Uncomplicated UTI Tx - ANS ✔✔Nitrofuratoin/Macrobid 100mg BID x5 days
Bactrim 3 day course- 95% effective
Allergy- fluoroquubines/bet-lactams
When should a full 7-10 day abx course be completed for UTI? - ANS ✔✔Diabetes
Sxs >7days
Pregnancy
>65yrs
PMH of polyneohritis
How long for ABX tx of uncomplicated UTI? - ANS ✔✔3days generally
UTI Prevention - ANS ✔✔Education
-front to back
-good hygiene
limit use of foleys
Drink liquids to have clear yellow urine
Empty bladder completely
Constipation increased risk- pressure on bladder
, Void after sex
Avoid baths
Polynephritis s/s - ANS ✔✔Flank pain, fever, dysuria, appear ill, in a lot of pain, more severe
than UTI, chills, not voiding often, not eating/drinking. +CVA tenderness.
Polynephritis key points - ANS ✔✔More severe than UTI, requires IV ABX, referral possibly to
ER, can cause kidney damage/loss of kidney.
Hematuria - ANS ✔✔Blood in urine
>RBC under microscope in urine
Gross hematuria/proteinuria predictive of significant disease
Gross hematuria requires what? - ANS ✔✔Referral to urology
Risk factors for serious uritourinary tract disease? - ANS ✔✔>40
Smoker
Analgesic abuse
Male
Hx of UTI
Hematuria causes - ANS ✔✔Vigorous exercise
Sickle cell
Pylonephritis/polycystic kidney
Renal calculi
Prostatitis
