NURS 620 MARYVILLE EXAM 3 ACTUAL

NURS 620 MARYVILLE EXAM 3 (ACTUAL / )

QUESTIONS AND VERIFIED ANSWERS GRADED A+

What are potential causes of chronic infection/UTI?-obstructions -antibiotic-resistant bacteria ---- presence of multiple strains of bacteria

What additional HPI questions would you want to ask a patient with urinary complaints (dyuria, urgency, etc.)?-fever -N/V -Pain (abdominal, pelvic, back) -LMP -Contraceptive use -Sexual partners -hygeine habits -Vaginal discharge/irritation -hx of UTIs

Preferred collection method for UA?clean-catch midstream urine specimen

• / 4

What characteristics of UA/C&S indicates infection?> 100,000 organisms/ml plus presence of characteristic clinical symptoms.

Gold standard of laboratory confirmation of UTI Urine culture

Diagnostic testing for lower UTI UA/C&S

IC: potassium sensitivity test (PST)

What do nitrates signal on a UA?gram negative bacteria

Which diagnostic is often the first indicator of renal problem?Proteinuria

What symptoms may be different for the geriatric population with

UTI? 2 / 4

Hematuria may be only symptom May present with altered MS Dizziness-early symptom

Low back pain is an indication of what form of complicated UTI?Pyleonephritis

What population is at increased risk of pyleonephritis?Pregnant geriatric

Possible differential diagnosis for lower/uncomplicated UTI?Pyleonephritis (upper UTI) STI Tumor/bladder cancer Interstital cystitis Vaginitis

What signs of sepsis will not be seen with lower/uncomplicated UTI?Fever Chills 3 / 4

WBC casts CVAT

What is the mainstay of treatment for uncomplicated UTI?pharmacological antimicrobial tx

Which classes of antibiotics are becoming increasingly resistant to bacteria associated with UTI?Ampicillin and sulfonamides

Which bacteria is nitrofurantoin most effective on?gram-negative

What is the antibiotic regimin for bactrim or septra with uncomplicated UTI?

• DS BID x 3 days

What is the antibiotic regmin for cefdinir with uncomplicated UTI?500 mg BID x 5 days

• / 4