NURS 5335 VERIFIED MODULE 2 RENAL EXAM QUESTIONS AND
ANSWERS LATEST UPDATE
Most common bacteria that cause GU infections are
Gram (-)
Most common bacteria in GU infections are
-E. coli
-Proteus
-Klebsiellay
-Enterobacter
Gram (+) bacteria that causes GU infections
Staph saprophyticus
What can mimic UTI and may warrant a pelvic exam
-Yeast infection
-STD
Elderly UTI S/S
-Delirium
-Urinary incontinence
-Sepsis
Urine C&S WBC casts diagnostic of what
Pyelonephritis
When do you treat empirically for GU concerns
-Fever
-Flank pain
-Pyuria
-Hematuria
-Ill appearance
Urine dipstick (+) nitrate and leukocyte esterace
Indicative of infection
What if my patient is symptomatic but the dip is negative
, Do a C&S because proteus, klebsiella, enterobacter, and some strains of ecoli don't
produce nitrates
Pregnancy UTI S/S
Intractable vomitting in the 2nd or 3rd trimester, elevated B/P with preeclampsia, renal
failure, sepsis, or premature labor
When do I get a C&S
-Before therapy in patients who have recently been hospitalized
-Those acutely ill and febrile
-Men
-Prego women
If my patients culture is negative but they have pyuria what could be the issue
-Bladder stone
-Bladder tumor
-Interstitial cystitis
-Bladder outlet obstruction
Relapsing UTI
-Usually caused by the same organism
-Need longer course (2-3 weeks) of treatment
GU imaging
Sonogram is test of choice
When do I do a sonogram in my patient with GU complaints
-Acute pyelonephritis in a male
-Acute pyelonephritis in women with persistent high fever or leukocytosis after 2-3 days
on ABX
-Renal colic
-Palpable renal mass
-Women with >4 UTI in a year
-Failure to clear an infection with appropriate ABX
What is a renal US used for
To detect obstruction
What is a voiding cystourethrogram used for
ANSWERS LATEST UPDATE
Most common bacteria that cause GU infections are
Gram (-)
Most common bacteria in GU infections are
-E. coli
-Proteus
-Klebsiellay
-Enterobacter
Gram (+) bacteria that causes GU infections
Staph saprophyticus
What can mimic UTI and may warrant a pelvic exam
-Yeast infection
-STD
Elderly UTI S/S
-Delirium
-Urinary incontinence
-Sepsis
Urine C&S WBC casts diagnostic of what
Pyelonephritis
When do you treat empirically for GU concerns
-Fever
-Flank pain
-Pyuria
-Hematuria
-Ill appearance
Urine dipstick (+) nitrate and leukocyte esterace
Indicative of infection
What if my patient is symptomatic but the dip is negative
, Do a C&S because proteus, klebsiella, enterobacter, and some strains of ecoli don't
produce nitrates
Pregnancy UTI S/S
Intractable vomitting in the 2nd or 3rd trimester, elevated B/P with preeclampsia, renal
failure, sepsis, or premature labor
When do I get a C&S
-Before therapy in patients who have recently been hospitalized
-Those acutely ill and febrile
-Men
-Prego women
If my patients culture is negative but they have pyuria what could be the issue
-Bladder stone
-Bladder tumor
-Interstitial cystitis
-Bladder outlet obstruction
Relapsing UTI
-Usually caused by the same organism
-Need longer course (2-3 weeks) of treatment
GU imaging
Sonogram is test of choice
When do I do a sonogram in my patient with GU complaints
-Acute pyelonephritis in a male
-Acute pyelonephritis in women with persistent high fever or leukocytosis after 2-3 days
on ABX
-Renal colic
-Palpable renal mass
-Women with >4 UTI in a year
-Failure to clear an infection with appropriate ABX
What is a renal US used for
To detect obstruction
What is a voiding cystourethrogram used for
