©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
NU 409: exam 4 Study Guide with
Complete Solutions
urinary tract infections are the result of... - Ans:✔✔-bacteria (often E. coli) ascending into the urethra,
bladder, and kidneys (pyelonephritis).
cystitis is the most common form of... - Ans:✔✔-UTI and is limited to the bladder
symptoms of cystitis - Ans:✔✔--urinary frequency
-urinary urgency
-a sensation of incomplete emptying
-pain with urination
-hematuria
urinalysis may be used to assess for... - Ans:✔✔--UTIs
-the values specific to UTI are leukocytes, nitrates, and blood
-a more definite urine culture must be done in a laboratory
Page 1/35
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
UTIs may resolve without... - Ans:✔✔-treatment or treated with antibiotics
if a UTI is treated with antibiotics, patients should be taught to... - Ans:✔✔-finish their course of
antibiotics, even if they feel better
what is phenazopyridine - Ans:✔✔-an over the counter urinary analgesic that can manage symptoms
related to cystitis but it does not cure the UTI
patients should be taught not to take phenazopyridine for more than... - Ans:✔✔-2 days because it can
mask the symptoms of UTI
patient should be taught that phenazopyridine changes the urine to... - Ans:✔✔-bright orange, which
can be alarming
what is pyelonephritis - Ans:✔✔-a UTI that has ascended into the kidneys
symptoms of pylonephritis - Ans:✔✔--fever
-chills
-flu-like symptoms
-back pain
what is needed to determine the type of antibiotic needed with pyelonephritis - Ans:✔✔-a urine culture
Page 2/35
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
long term consequences of pylelonephritis - Ans:✔✔--infection
-kidney failure
-shock
-multiple organ dysfunction
-sepsis
-death
What is pylonephritis usually treated with... - Ans:✔✔--ciprofloxacin
-levofloxacin
A patient calls the clinic with complaints of fever, back pain, urinary frequency, and urinary urgency. The
nurse suspects the provider will do which of the following?
A. Recommend the patient stay home and drink a lot of water.
B. Recommend the patient come to the clinic to be evaluated for pyelonephritis.
C. Diagnose the patient with a urinary tract infection and call in a prescription.
D. Recommend the patient take phenazopyridine for 2 days and call back if symptoms persist. - Ans:✔✔-
B.
Page 3/35
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
-The provider will likely ask the patient to come to the clinic to be evaluated for pyelonephritis because
the patient is experiencing a fever and back pain along with urinary frequency and urgency.
Pyelonephritis is the result of bacteria that ascends from the urethra, to the bladder, and then to the
kidneys. A urine culture should be obtained to determine the correct antibiotic treatment and to avoid
long-term complications. Recommending water and phenazopyridine is not appropriate at this time.
what is bacterial vaginosis - Ans:✔✔-is associated with higher than normal pH in the vagina that allows
certain bacteria to become dominant.
what are conditions that raise the pH - Ans:✔✔--pregnancy
-intercourse
-tampons
signs and symptoms of BV - Ans:✔✔--fishy vaginal odor
-white/gray vaginal discharge
-high pH
treatment for BV - Ans:✔✔-often resolves spontaneously but may be treated with oral metronidazole or
vaginal cream
what is vaginitis - Ans:✔✔-inflammation of the mucosa of the vagina
Page 4/35
FIRST PUBLISH OCTOBER 2024
NU 409: exam 4 Study Guide with
Complete Solutions
urinary tract infections are the result of... - Ans:✔✔-bacteria (often E. coli) ascending into the urethra,
bladder, and kidneys (pyelonephritis).
cystitis is the most common form of... - Ans:✔✔-UTI and is limited to the bladder
symptoms of cystitis - Ans:✔✔--urinary frequency
-urinary urgency
-a sensation of incomplete emptying
-pain with urination
-hematuria
urinalysis may be used to assess for... - Ans:✔✔--UTIs
-the values specific to UTI are leukocytes, nitrates, and blood
-a more definite urine culture must be done in a laboratory
Page 1/35
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
UTIs may resolve without... - Ans:✔✔-treatment or treated with antibiotics
if a UTI is treated with antibiotics, patients should be taught to... - Ans:✔✔-finish their course of
antibiotics, even if they feel better
what is phenazopyridine - Ans:✔✔-an over the counter urinary analgesic that can manage symptoms
related to cystitis but it does not cure the UTI
patients should be taught not to take phenazopyridine for more than... - Ans:✔✔-2 days because it can
mask the symptoms of UTI
patient should be taught that phenazopyridine changes the urine to... - Ans:✔✔-bright orange, which
can be alarming
what is pyelonephritis - Ans:✔✔-a UTI that has ascended into the kidneys
symptoms of pylonephritis - Ans:✔✔--fever
-chills
-flu-like symptoms
-back pain
what is needed to determine the type of antibiotic needed with pyelonephritis - Ans:✔✔-a urine culture
Page 2/35
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
long term consequences of pylelonephritis - Ans:✔✔--infection
-kidney failure
-shock
-multiple organ dysfunction
-sepsis
-death
What is pylonephritis usually treated with... - Ans:✔✔--ciprofloxacin
-levofloxacin
A patient calls the clinic with complaints of fever, back pain, urinary frequency, and urinary urgency. The
nurse suspects the provider will do which of the following?
A. Recommend the patient stay home and drink a lot of water.
B. Recommend the patient come to the clinic to be evaluated for pyelonephritis.
C. Diagnose the patient with a urinary tract infection and call in a prescription.
D. Recommend the patient take phenazopyridine for 2 days and call back if symptoms persist. - Ans:✔✔-
B.
Page 3/35
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
-The provider will likely ask the patient to come to the clinic to be evaluated for pyelonephritis because
the patient is experiencing a fever and back pain along with urinary frequency and urgency.
Pyelonephritis is the result of bacteria that ascends from the urethra, to the bladder, and then to the
kidneys. A urine culture should be obtained to determine the correct antibiotic treatment and to avoid
long-term complications. Recommending water and phenazopyridine is not appropriate at this time.
what is bacterial vaginosis - Ans:✔✔-is associated with higher than normal pH in the vagina that allows
certain bacteria to become dominant.
what are conditions that raise the pH - Ans:✔✔--pregnancy
-intercourse
-tampons
signs and symptoms of BV - Ans:✔✔--fishy vaginal odor
-white/gray vaginal discharge
-high pH
treatment for BV - Ans:✔✔-often resolves spontaneously but may be treated with oral metronidazole or
vaginal cream
what is vaginitis - Ans:✔✔-inflammation of the mucosa of the vagina
Page 4/35
