NCLEX BootCamp Cheat Sheet: UTIs
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NCLEX BootCamp: Shock & Sepsis
20 terms Delly_DorionPreview NCLEX 203 term sloo burning, frequency, and urgencyWhat are three symptoms of a UTI?confusionWhat may older adults experience as the only symptom of a UTI?before administering antibioticsWhen should you collect a urine culture for a UTI?midstreamDuring a clean-catch urine specimen, when should you instruct a patient to pass the specimen container into the urine stream?CAUTI Preventionuse indwelling catheters only when absolutely necessary; discontinue ASAP
Prevent backflow of urine into the bladder by:
-emptying urine bag frequently, always keeping it less than half full -ensuring urine bag stays below bladder level -securing catheter tubing to client's leg fluid intake of 2 L/day, avoiding bladder irritants like caffeine and alcohol What are two aspects of UTI management?urinating before and after sex and wiping front to back What are two aspects of UTI prevention?common antibiotics for UTIsnitrofurantoin, trimethoprim-sulfamethoxazole, levofloxacin take with meals to reduce GI upsetWhat's a consideration for nitrofurantoin?increased risk of Stevens-Johnson Syndrome, contraindicated in patients with sulfa allergy What are two considerations for trimethoprim-sulfamethoxazole?increased sun sensitivityWhat's a consideration for levofloxacin?
phenazopyridineWhat's a urinary analgesic that relieves dysuria?Turns body fluids dark orange or red, which can stain clothes or contact lenses (Instruct client to wear glasses instead of contacts to prevent staining.) What's a consideration for phenazopyridine?flank pain and CVA tendernessIn a client with a UTI, what two aspects indicate progression to pyelonephritis?Administering IV fluids, monitoring for signs of septic shock and AKI What are two priority interventions for the client with pyelonephritis?