NURS 620 EXAM SCRIPT FINAL PAPER 2026
FULL SOLUTION VIEW AHEAD
◉ Nitrofurantoin (Macrobid).
Answer: Which antibiotic is on the Beers list for geriatric patients?
◉ Cefdinir.
Answer: Which antibiotic has a low interaction rate with other
medications and is also a good consideration for geriatric patients?
◉ 3-5 day dosing.
Answer: How many days can a healthy patient be successfully
treated for uncomplicated UTI?
◉ 7 days.
Answer: How long should patients who are geriatric or present with
comorbidities, immunocompromise, etc. be treated for
uncomplicated UTI?
◉ Area resistance
Patient history of antibiotic use
Bacteria resistance (culture).
,Answer: What is a key factor to consider when determining which
antibiotic to use for uncomplicated UTI?
◉ Fluoroguinolones.
Answer: Which antibiotic class is known to have widespread efficacy
in treating UTI?
◉ Amoxicillin, nitrofurantoin, or cephalexin x 1 week.
Answer: Empirical therapy for lower UTI?
◉ Flouroguinolones.
Answer: Which class of antibiotc should be avoided if possible for
lower UTI?
◉ premature delivery.
Answer: What complications may arise during pregnancy with UTI?
◉ Fluconazole 200 mg qd x 7-14 days.
Answer: What is the treatment for fungal UTI?
◉ Pre-urological procedures
After removal of a bladder catheter
,Any patient with underlying structural abnormality.
Answer: When is antibiotic treatment considered in patients who
may not present with current lower UTI?
◉ 2 or more symptomatic UTIs w/in 6 months
3 or more within 12 months.
Answer: Who should receive antibiotic prophylaxis for recurrent
UTI?
◉ Once negative urine culture is obtained..
Answer: When should prophylaxis be started for recurrent UTI?
◉ Take antibiotics 3-4 days after intercourse or when symptoms
begin.
Answer: What is the regimin for post-coital or self-medication UTI
prophylaxis?
◉ Daily dosing of low dose antibiotic therapy for 6 months..
Answer: What is the antibiotic regimin for prophylactix with chronic
UTI?
◉ It does not.
, Answer: How does interstitial cystitis respond to antibiotic
treatment?
◉ Q 4-6 weeks.
Answer: How often should indwelling catheters be changed?
◉ -Maintain adequate hydration and monitor UO
-Obstruction must be identified and removed
-Prescribe analgesics for patients to reduce pain associated with
UTI..
Answer: Important follow up points for lower UTI
◉ Notify if flank pain, hematuria, or lack of response to tx occurs..
Answer: Patient instructions for physician notification following
visit and prescribed treatment for lower UTI.
◉ -Complete full course of antibiotic
-increase fluid intake to 8-8oz glasses of H20/day
-Take cranberry supplement/drink cranbery juice
-self-medicate as indicated
-Avoid harsh soaps or feminie hygeine products
-Use condoms
FULL SOLUTION VIEW AHEAD
◉ Nitrofurantoin (Macrobid).
Answer: Which antibiotic is on the Beers list for geriatric patients?
◉ Cefdinir.
Answer: Which antibiotic has a low interaction rate with other
medications and is also a good consideration for geriatric patients?
◉ 3-5 day dosing.
Answer: How many days can a healthy patient be successfully
treated for uncomplicated UTI?
◉ 7 days.
Answer: How long should patients who are geriatric or present with
comorbidities, immunocompromise, etc. be treated for
uncomplicated UTI?
◉ Area resistance
Patient history of antibiotic use
Bacteria resistance (culture).
,Answer: What is a key factor to consider when determining which
antibiotic to use for uncomplicated UTI?
◉ Fluoroguinolones.
Answer: Which antibiotic class is known to have widespread efficacy
in treating UTI?
◉ Amoxicillin, nitrofurantoin, or cephalexin x 1 week.
Answer: Empirical therapy for lower UTI?
◉ Flouroguinolones.
Answer: Which class of antibiotc should be avoided if possible for
lower UTI?
◉ premature delivery.
Answer: What complications may arise during pregnancy with UTI?
◉ Fluconazole 200 mg qd x 7-14 days.
Answer: What is the treatment for fungal UTI?
◉ Pre-urological procedures
After removal of a bladder catheter
,Any patient with underlying structural abnormality.
Answer: When is antibiotic treatment considered in patients who
may not present with current lower UTI?
◉ 2 or more symptomatic UTIs w/in 6 months
3 or more within 12 months.
Answer: Who should receive antibiotic prophylaxis for recurrent
UTI?
◉ Once negative urine culture is obtained..
Answer: When should prophylaxis be started for recurrent UTI?
◉ Take antibiotics 3-4 days after intercourse or when symptoms
begin.
Answer: What is the regimin for post-coital or self-medication UTI
prophylaxis?
◉ Daily dosing of low dose antibiotic therapy for 6 months..
Answer: What is the antibiotic regimin for prophylactix with chronic
UTI?
◉ It does not.
, Answer: How does interstitial cystitis respond to antibiotic
treatment?
◉ Q 4-6 weeks.
Answer: How often should indwelling catheters be changed?
◉ -Maintain adequate hydration and monitor UO
-Obstruction must be identified and removed
-Prescribe analgesics for patients to reduce pain associated with
UTI..
Answer: Important follow up points for lower UTI
◉ Notify if flank pain, hematuria, or lack of response to tx occurs..
Answer: Patient instructions for physician notification following
visit and prescribed treatment for lower UTI.
◉ -Complete full course of antibiotic
-increase fluid intake to 8-8oz glasses of H20/day
-Take cranberry supplement/drink cranbery juice
-self-medicate as indicated
-Avoid harsh soaps or feminie hygeine products
-Use condoms
