URINARY TRACT INFECTION
A client has a history of repeated urinary tract infections caused by several different factors. What
clinical situation would be least likely to cause a UTI? - Answer- Increase in urinary motility
A decrease, not an increase, in urinary motility can cause a UTI. Urinary stasis, trauma to the
urinary tract, and a blockage in the urinary tract can cause a UTI.
A client is admitted to the emergency department for possible acute pyelonephritis. Which
manifestations are associated with this disorder? - Answer- 1. Diarrhea
2. Vomiting
3. Flank tenderness
4. Urinary frequency
The nurse is caring for a client complaining of loss of appetite, feeling confused and lethargic, and
painful urination. Based on these symptoms, what diagnosis does the nurse expect? - Answer-
Cystitis
The combination of anorexia, confusion (in the elderly), lethargy, and dysuria are symptoms of
cystitis. Symptoms are different for urethritis, pyelonephritis, and prostatitis.
The nurse is caring for a client diagnosed with a urinary tract infection (UTI). Which assessment
findings support this diagnosis? - Answer- 1. Flank pain
2. Burning sensation upon urination
3. Abdominal pain
The nurse is caring for a client who is diagnosed with a urinary tract infection (UTI). Which
diagnostic test does the nurse anticipate will be ordered for the client to determine appropriate
treatment? - Answer- Urine culture and sensitivity
The client suspected of having a urinary tract infection would have a urine culture and sensitivity
ordered to determine the best course of pharmacological treatment. A client with renal calculi
would require an intravenous pyelogram for diagnosis. A pelvic examination is useful to assess
structural changes of the urinary tract. A voiding cystourethrography is useful when determining
the cause of urinary inflammation.
The client wants to know what fluids to avoid, in light of repeated urinary tract infections. What
fluids would you educate the client about? - Answer- 1. Citrus juices
2. Alcoholic beverages
3. Coffee
Avoiding citrus juices, alcoholic beverages, and coffee can help prevent urinary infections.
Increasing the intake of cranberry juice, not avoiding it, can help prevent urinary infections. Milk
intake has no known effect in preventing urinary infections.
What physiologic changes occur with pyelonephritis? - Answer- An inflammatory response occurs
in the pelvis and in the parenchyma within the affected kidney.
A client has a history of repeated urinary tract infections caused by several different factors. What
clinical situation would be least likely to cause a UTI? - Answer- Increase in urinary motility
A decrease, not an increase, in urinary motility can cause a UTI. Urinary stasis, trauma to the
urinary tract, and a blockage in the urinary tract can cause a UTI.
A client is admitted to the emergency department for possible acute pyelonephritis. Which
manifestations are associated with this disorder? - Answer- 1. Diarrhea
2. Vomiting
3. Flank tenderness
4. Urinary frequency
The nurse is caring for a client complaining of loss of appetite, feeling confused and lethargic, and
painful urination. Based on these symptoms, what diagnosis does the nurse expect? - Answer-
Cystitis
The combination of anorexia, confusion (in the elderly), lethargy, and dysuria are symptoms of
cystitis. Symptoms are different for urethritis, pyelonephritis, and prostatitis.
The nurse is caring for a client diagnosed with a urinary tract infection (UTI). Which assessment
findings support this diagnosis? - Answer- 1. Flank pain
2. Burning sensation upon urination
3. Abdominal pain
The nurse is caring for a client who is diagnosed with a urinary tract infection (UTI). Which
diagnostic test does the nurse anticipate will be ordered for the client to determine appropriate
treatment? - Answer- Urine culture and sensitivity
The client suspected of having a urinary tract infection would have a urine culture and sensitivity
ordered to determine the best course of pharmacological treatment. A client with renal calculi
would require an intravenous pyelogram for diagnosis. A pelvic examination is useful to assess
structural changes of the urinary tract. A voiding cystourethrography is useful when determining
the cause of urinary inflammation.
The client wants to know what fluids to avoid, in light of repeated urinary tract infections. What
fluids would you educate the client about? - Answer- 1. Citrus juices
2. Alcoholic beverages
3. Coffee
Avoiding citrus juices, alcoholic beverages, and coffee can help prevent urinary infections.
Increasing the intake of cranberry juice, not avoiding it, can help prevent urinary infections. Milk
intake has no known effect in preventing urinary infections.
What physiologic changes occur with pyelonephritis? - Answer- An inflammatory response occurs
in the pelvis and in the parenchyma within the affected kidney.
