Page 1 of 57
NURS 651 EXAM 3 MARYVILLE UNIVERSITY LATEST
ACTUAL EXAM 150 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES |ALREADY
GRADED A+
UTI: Defintion .....ANSWER.....Includes bladder, (cystitis) urethera
(urethritis) and kidney (pyelonephritis)
Signs and symptoms of UTI .....ANSWER.....-Fever may be only
sign infants a & young child
-Older children=urinary symptoms ( new onset incontinence,
dysuria, frequency, abdominal pain
Risk factors of UTI .....ANSWER.....FEMALE, Uncircumcised male,
GENETICS, (Anatomy), BOWEL/BLADDER Dysfunction,
Obstruction, Catheterization, SEX, Reflux
Exam for UTI .....ANSWER.....Temp, BP, abd exam for mass,
tenderness. suprapubic or costovertebral tenderness, check
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external genitalia, eval lower back for signs of occult
myelomeningiocele, check other sources for fever.
UTI testing .....ANSWER.....-clean catch, cath, suprapubic UA
*dipstick, urine culture.
-+ leukocyte esterase=pyuria
-+nitrate=bacteria
*C/S
-+100,000 colonies for dx; may treat 50,000 or greater
UTI cal app to estimate probability of UTI (ages 2 -23 months)
Indications for urine sample .....ANSWER.....Girls:
2-11 months of age temp > 100.4 (non-black)
2-11 months of age temp of 102.2 OR the,p 100.4 and no other
fever source identified.
12-24 months of age temp 102.2 (non black)
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12-24 months of age 102.2 and no other source of fever
identified.
>24 months One or more of the following: dysuria, frequency,
new onset incontinence, back pain, abdominal pain, fever of
102.2 and no other acute cause.
Infant UTI .....ANSWER.....non specific symptoms or asymptomatic
UTI symptom cluster .....ANSWER.....Newborn- irritability, poor
feeding, diarrhea, fever, vomiting. jaundice, hypothermia,
cyanosis, lethargy
Infants//todlers/preschool: diarrhea, vomiting, fever, poor
feeding, strong urine odor, irritability, poor weight gain, diaper
rash
Schoolage/adolescents; fever, vomiting, strong urine odor,
urethral pain or suprapubic, dysuria, incontinence.
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UTI differential diagnosis .....ANSWER.....Chemical irritation
(bubble bath)
vulvovaginitis
dysfunctional voiding
acute abdomen ( appe, STD)
Foreign body
Sexual abuse
Dysfunctional voiding related to constipation
UTI specimen collection .....ANSWER.....Clean catch urine
midstream
(bagged specimen don't do it)
Straight Cath for mod to severe symptoms
Suprapubic aspiration: only when culture is urgently needed. ( +
is > 1000 colonies)
NURS 651 EXAM 3 MARYVILLE UNIVERSITY LATEST
ACTUAL EXAM 150 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES |ALREADY
GRADED A+
UTI: Defintion .....ANSWER.....Includes bladder, (cystitis) urethera
(urethritis) and kidney (pyelonephritis)
Signs and symptoms of UTI .....ANSWER.....-Fever may be only
sign infants a & young child
-Older children=urinary symptoms ( new onset incontinence,
dysuria, frequency, abdominal pain
Risk factors of UTI .....ANSWER.....FEMALE, Uncircumcised male,
GENETICS, (Anatomy), BOWEL/BLADDER Dysfunction,
Obstruction, Catheterization, SEX, Reflux
Exam for UTI .....ANSWER.....Temp, BP, abd exam for mass,
tenderness. suprapubic or costovertebral tenderness, check
,Page 2 of 57
external genitalia, eval lower back for signs of occult
myelomeningiocele, check other sources for fever.
UTI testing .....ANSWER.....-clean catch, cath, suprapubic UA
*dipstick, urine culture.
-+ leukocyte esterase=pyuria
-+nitrate=bacteria
*C/S
-+100,000 colonies for dx; may treat 50,000 or greater
UTI cal app to estimate probability of UTI (ages 2 -23 months)
Indications for urine sample .....ANSWER.....Girls:
2-11 months of age temp > 100.4 (non-black)
2-11 months of age temp of 102.2 OR the,p 100.4 and no other
fever source identified.
12-24 months of age temp 102.2 (non black)
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12-24 months of age 102.2 and no other source of fever
identified.
>24 months One or more of the following: dysuria, frequency,
new onset incontinence, back pain, abdominal pain, fever of
102.2 and no other acute cause.
Infant UTI .....ANSWER.....non specific symptoms or asymptomatic
UTI symptom cluster .....ANSWER.....Newborn- irritability, poor
feeding, diarrhea, fever, vomiting. jaundice, hypothermia,
cyanosis, lethargy
Infants//todlers/preschool: diarrhea, vomiting, fever, poor
feeding, strong urine odor, irritability, poor weight gain, diaper
rash
Schoolage/adolescents; fever, vomiting, strong urine odor,
urethral pain or suprapubic, dysuria, incontinence.
, Page 4 of 57
UTI differential diagnosis .....ANSWER.....Chemical irritation
(bubble bath)
vulvovaginitis
dysfunctional voiding
acute abdomen ( appe, STD)
Foreign body
Sexual abuse
Dysfunctional voiding related to constipation
UTI specimen collection .....ANSWER.....Clean catch urine
midstream
(bagged specimen don't do it)
Straight Cath for mod to severe symptoms
Suprapubic aspiration: only when culture is urgently needed. ( +
is > 1000 colonies)
