PATHOPHYSIOLOGY ACTUAL

NR 507 ADVANCED

PATHOPHYSIOLOGY ACTUAL

EXAM LATEST VERSION -

WITH QUESTIONS AND CORRECT

ANSWERS [ALREADY GRADED A+ ]

NR 507

J.S. is an 80 -year-old patient who resides in a local nursing home. He recently became confused and then fell while ambulating to the bathroom three days ago.Because of his confusion and fall, he was transferred to the acute care facility for evaluation and treatment. Lab work revealed that the patient was very dehydrated with hypernatremia identified and appropriate intravenous fluids started. Cystitis was also identified from the urinalysis. He was also noted to have red and excoriated skin between the buttocks and inner thighs due to urinary frequency and dribbling. To help with skin healing and to prevent further urine leakage, an 1 / 2

indwelling catheter was inserted. Two days after the catheter was placed, the patient spiked a fever of 102 degrees Fahrenheit associated with shaking chills. An intense, foul odor was noted in the urine. On examination of the flank area, the patient yelled out -ANSWER-C. This patient would be diagnosed with pyelonephritis.

Identify the major risk factor J.S. has that is associated with pyelonephritis:

• Indwelling Foley catheter
• Dehydration
• Fever
• Flank pain - ANSWER-A. The major risk factor for the development of

pyelonephritis in this patient is the indwelling Foley catheter. Flank pain, dehydration and fever are symptoms rather than risk factors.Which of the following is a risk factor for the development of a urinary tract infection (UTI)?

• Frequent showering
• Marathon running
• Perimenopause
• Pregnancy - ANSWER-D. Pregnancy is a risk factor the development of a UTI.

Women are at a higher risk for the development of a UTI because of having a shorter urethra.True False - ANSWER-True. Women have a shorter urethra that puts them at higher risk for developing a UTI.

Which of the following is true regarding a complicated urinary tract infection?

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