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Week 4
Week 4 NCO Infections of the Urinary Tract
| Question | Answer |
|---|---|
| A patient presents with complaints of dysuria, flank pain, pyuria. Urinalysis reveals 4+ bacteria in the urine. Match the parts of the urinary tract with the symptom the patient may experience. | - Dysuria - Pyuria and 4+ bacteria - Flank pain |
| A patient presents with a urinary tract infection (UTI) that has not spread beyond the bladder. Which classification of UTI describes this kind of infection? | Uncomplicated UTI |
| Urinary stones contribute to the development of which urinary tract infection (UTI)? | Pyelonephritis |
| A patient presents with fever, chills, and dysuria with increased urgency. Urinalysis reveals a bacteria count of 105 CFU/mL. The patient has no history of urinary tract infection (UTI) and is otherwise healthy. Which treatment is most appropriate for thi | Oral trimethoprim-sulfamethoxazole (TMP/SMX) |
| A male patient reports dysuria, urgency, and frequent urination. Urinalysis reveals bacteriuria. Which treatment should the nurse expect to implement for this patient? | Ceftriaxone |
| A patient presents with nausea and vomiting with fatigue, headache, and extreme thirst. The nurse notes tenderness over the left flank, pyuria, and a white blood cell count of 15. What collaborative care is a priority for this patient? | - Hospitalization - Intravenous (IV) antibiotic therapy - Intravenous (IV) fluid therapy |
| A patient presents with chlamydia-associated urethritis. What patient education is necessary to prevent spread of the disease? | Report infection to sexual partners. |
| A female patient presents with urinary frequency and dysuria. The nurse notes white blood cells in the urine and bacteriuria. What patient education is necessary to prevent future infections? | - Continue taking the medication - Obtain necessary follow up care - Void immediately after sex - Wear loose-fitting pants and underwear |
| A patient diagnosed with acute pyelonephritis is treated with a full course of ampicillin. The patient asks whether he needs to be doing anything else to treat the infection, even though the symptoms have resolved. What is the appropriate response from th | “Continue to increase oral fluid intake even if symptoms have resolved.” |
| Which conditions may put a patient at risk for developing a fungal urinary tract infection (UTI)? | - AIDS diagnosis - Renal failure - Chronic bacterial infections |
| Which infections of the urinary tract may manifest systemically as symptoms of fever, chills, and flank pain? | - Upper urinary tract infection (UTI) - Acute pyelonephritis |
| Which urinary symptoms would indicate to the nurse that a urinary tract infection (UTI) has progressed to renal failure? | -Oliguria - Flank pain |
| The nurse is caring for an older adult patient who complains of cloudy urine. Urinalysis indicates a bacteria count of 5 × 102 CFU/mL. The nurse understands that which treatment is most appropriate for this patient? | Oral nitrofurantoin therapy |
| A patient presents with a fever of 102° F, fatigue, nausea, and urinary urgency. On percussion during physical examination, the nurse notes costovertebral tenderness on the left side. Urinalysis indicates bacteriuria. Which provider order would the nurse | Administer intravenous (IV) ampicillin. |
| A patient presents with urinary pain and urgency but no systemic symptoms. Urinalysis indicates a bacteria count of 103 CFU/mL. The patient’s chart indicates no coexisting obstruction or health concern. However, the patient has been seen for urinary tract | Ciprofloxacin |
| A patient presents with suprapubic pain, fever, and chills. The nurse notes heart rate of 112 beats/min, blood pressure of 146/88 mm Hg, and oxygen saturation of 100%. Which assessment findings would be most concerning? | Elevated white blood cell (WBC) count |
| A patient who is 5’5” and 180 lb is diagnosed with a urinary tract infection (UTI). The patient reports drinking 50 ounces of water a day and regular bowel movements and urination throughout the day. Which additional information should the nurse provide t | Tell patient to increase water intake to 90 ounces per day. |
| The nurse is caring for a patient being treated with ciprofloxacin for a catheter-associated urinary tract infection (UTI). Which assessment finding would be most concerning to the nurse? | Costovertebral angle (ACVA) tenderness |
| A patient presents with nausea and vomiting with fatigue, headache, and extreme thirst. The nurse notes tenderness over the left flank, pyuria, and a white blood cell count of 15. What collaborative care is a priority for this patient? | - Hospitalization - Intravenous (IV) antibiotic therapy - Intravenous (IV) fluid therapy |
| A patient presents with chlamydia-associated urethritis. What patient education is necessary to prevent spread of the disease? | Report infection to sexual partners. |
| A female patient presents with urinary frequency and dysuria. The nurse notes white blood cells in the urine and bacteriuria. What patient education is necessary to prevent future infections? | - Continue taking the medication - Obtain necessary follow up care - Void immediately after sex - Wear loose-fitting pants and underwear |
| A patient diagnosed with acute pyelonephritis is treated with a full course of ampicillin. The patient asks whether he needs to be doing anything else to treat the infection, even though the symptoms have resolved. What is the appropriate response from th | “Continue to increase oral fluid intake even if symptoms have resolved.” |
| Which conditions may put a patient at risk for developing a fungal urinary tract infection (UTI)? | - AIDS diagnosis - Renal failure - Chronic bacterial infections |
| Which infections of the urinary tract may manifest systemically as symptoms of fever, chills, and flank pain? | - Upper urinary tract infection (UTI) - Acute pyelonephritis |
| Which urinary symptoms would indicate to the nurse that a urinary tract infection (UTI) has progressed to renal failure? | -Oliguria - Flank pain |
| The nurse is caring for an older adult patient who complains of cloudy urine. Urinalysis indicates a bacteria count of 5 × 102 CFU/mL. The nurse understands that which treatment is most appropriate for this patient? | Oral nitrofurantoin therapy |
| A patient presents with a fever of 102° F, fatigue, nausea, and urinary urgency. On percussion during physical examination, the nurse notes costovertebral tenderness on the left side. Urinalysis indicates bacteriuria. Which provider order would the nurse | Administer intravenous (IV) ampicillin. |
| A patient presents with urinary pain and urgency but no systemic symptoms. Urinalysis indicates a bacteria count of 103 CFU/mL. The patient’s chart indicates no coexisting obstruction or health concern. However, the patient has been seen for urinary tract | Ciprofloxacin |
| A patient presents with suprapubic pain, fever, and chills. The nurse notes heart rate of 112 beats/min, blood pressure of 146/88 mm Hg, and oxygen saturation of 100%. Which assessment findings would be most concerning? | Elevated white blood cell (WBC) count |
| A patient who is 5’5” and 180 lb is diagnosed with a urinary tract infection (UTI). The patient reports drinking 50 ounces of water a day and regular bowel movements and urination throughout the day. Which additional information should the nurse provide t | Tell patient to increase water intake to 90 ounces per day. |
| The nurse is caring for a patient being treated with ciprofloxacin for a catheter-associated urinary tract infection (UTI). Which assessment finding would be most concerning to the nurse? | Costovertebral angle (ACVA) tenderness |
| A patient presents with nausea and vomiting with fatigue, headache, and extreme thirst. The nurse notes tenderness over the left flank, pyuria, and a white blood cell count of 15. What collaborative care is a priority for this patient? | - Hospitalization - Intravenous (IV) antibiotic therapy - Intravenous (IV) fluid therapy |
| A patient presents with chlamydia-associated urethritis. What patient education is necessary to prevent spread of the disease? | Report infection to sexual partners. |
| A female patient presents with urinary frequency and dysuria. The nurse notes white blood cells in the urine and bacteriuria. What patient education is necessary to prevent future infections? | - Continue taking the medication - Obtain necessary follow up care - Void immediately after sex - Wear loose-fitting pants and underwear |
| A patient diagnosed with acute pyelonephritis is treated with a full course of ampicillin. The patient asks whether he needs to be doing anything else to treat the infection, even though the symptoms have resolved. What is the appropriate response from th | “Continue to increase oral fluid intake even if symptoms have resolved.” |
| Which conditions may put a patient at risk for developing a fungal urinary tract infection (UTI)? | - AIDS diagnosis - Renal failure - Chronic bacterial infections |
| Which infections of the urinary tract may manifest systemically as symptoms of fever, chills, and flank pain? | - Upper urinary tract infection (UTI) - Acute pyelonephritis |
| Which urinary symptoms would indicate to the nurse that a urinary tract infection (UTI) has progressed to renal failure? | -Oliguria - Flank pain |
| The nurse is caring for an older adult patient who complains of cloudy urine. Urinalysis indicates a bacteria count of 5 × 102 CFU/mL. The nurse understands that which treatment is most appropriate for this patient? | Oral nitrofurantoin therapy |
| A patient presents with a fever of 102° F, fatigue, nausea, and urinary urgency. On percussion during physical examination, the nurse notes costovertebral tenderness on the left side. Urinalysis indicates bacteriuria. Which provider order would the nurse | Administer intravenous (IV) ampicillin. |
| A patient presents with urinary pain and urgency but no systemic symptoms. Urinalysis indicates a bacteria count of 103 CFU/mL. The patient’s chart indicates no coexisting obstruction or health concern. However, the patient has been seen for urinary tract | Ciprofloxacin |
| A patient presents with suprapubic pain, fever, and chills. The nurse notes heart rate of 112 beats/min, blood pressure of 146/88 mm Hg, and oxygen saturation of 100%. Which assessment findings would be most concerning? | Elevated white blood cell (WBC) count |
| A patient who is 5’5” and 180 lb is diagnosed with a urinary tract infection (UTI). The patient reports drinking 50 ounces of water a day and regular bowel movements and urination throughout the day. Which additional information should the nurse provide t | Tell patient to increase water intake to 90 ounces per day. |
| The nurse is caring for a patient being treated with ciprofloxacin for a catheter-associated urinary tract infection (UTI). Which assessment finding would be most concerning to the nurse? | Costovertebral angle (ACVA) tenderness |
| A patient presents with nausea and vomiting with fatigue, headache, and extreme thirst. The nurse notes tenderness over the left flank, pyuria, and a white blood cell count of 15. What collaborative care is a priority for this patient? | - Hospitalization - Intravenous (IV) antibiotic therapy - Intravenous (IV) fluid therapy |
| A patient presents with chlamydia-associated urethritis. What patient education is necessary to prevent spread of the disease? | Report infection to sexual partners. |
| A female patient presents with urinary frequency and dysuria. The nurse notes white blood cells in the urine and bacteriuria. What patient education is necessary to prevent future infections? | - Continue taking the medication - Obtain necessary follow up care - Void immediately after sex - Wear loose-fitting pants and underwear |
| A patient diagnosed with acute pyelonephritis is treated with a full course of ampicillin. The patient asks whether he needs to be doing anything else to treat the infection, even though the symptoms have resolved. What is the appropriate response from th | “Continue to increase oral fluid intake even if symptoms have resolved.” |
| Which conditions may put a patient at risk for developing a fungal urinary tract infection (UTI)? | - AIDS diagnosis - Renal failure - Chronic bacterial infections |
| Which infections of the urinary tract may manifest systemically as symptoms of fever, chills, and flank pain? | - Upper urinary tract infection (UTI) - Acute pyelonephritis |
| Which urinary symptoms would indicate to the nurse that a urinary tract infection (UTI) has progressed to renal failure? | -Oliguria - Flank pain |
| The nurse is caring for an older adult patient who complains of cloudy urine. Urinalysis indicates a bacteria count of 5 × 102 CFU/mL. The nurse understands that which treatment is most appropriate for this patient? | Oral nitrofurantoin therapy |
| A patient presents with a fever of 102° F, fatigue, nausea, and urinary urgency. On percussion during physical examination, the nurse notes costovertebral tenderness on the left side. Urinalysis indicates bacteriuria. Which provider order would the nurse | Administer intravenous (IV) ampicillin. |
| A patient presents with urinary pain and urgency but no systemic symptoms. Urinalysis indicates a bacteria count of 103 CFU/mL. The patient’s chart indicates no coexisting obstruction or health concern. However, the patient has been seen for urinary tract | Ciprofloxacin |
| A patient presents with suprapubic pain, fever, and chills. The nurse notes heart rate of 112 beats/min, blood pressure of 146/88 mm Hg, and oxygen saturation of 100%. Which assessment findings would be most concerning? | Elevated white blood cell (WBC) count |
| A patient who is 5’5” and 180 lb is diagnosed with a urinary tract infection (UTI). The patient reports drinking 50 ounces of water a day and regular bowel movements and urination throughout the day. Which additional information should the nurse provide t | Tell patient to increase water intake to 90 ounces per day. |
| The nurse is caring for a patient being treated with ciprofloxacin for a catheter-associated urinary tract infection (UTI). Which assessment finding would be most concerning to the nurse? | Costovertebral angle (ACVA) tenderness |
| A patient presents with nausea and vomiting with fatigue, headache, and extreme thirst. The nurse notes tenderness over the left flank, pyuria, and a white blood cell count of 15. What collaborative care is a priority for this patient? | - Hospitalization - Intravenous (IV) antibiotic therapy - Intravenous (IV) fluid therapy |
| A patient presents with chlamydia-associated urethritis. What patient education is necessary to prevent spread of the disease? | Report infection to sexual partners. |
| A female patient presents with urinary frequency and dysuria. The nurse notes white blood cells in the urine and bacteriuria. What patient education is necessary to prevent future infections? | - Continue taking the medication - Obtain necessary follow up care - Void immediately after sex - Wear loose-fitting pants and underwear |
| A patient diagnosed with acute pyelonephritis is treated with a full course of ampicillin. The patient asks whether he needs to be doing anything else to treat the infection, even though the symptoms have resolved. What is the appropriate response from th | “Continue to increase oral fluid intake even if symptoms have resolved.” |
| Which conditions may put a patient at risk for developing a fungal urinary tract infection (UTI)? | - AIDS diagnosis - Renal failure - Chronic bacterial infections |
| Which infections of the urinary tract may manifest systemically as symptoms of fever, chills, and flank pain? | - Upper urinary tract infection (UTI) - Acute pyelonephritis |
| Which urinary symptoms would indicate to the nurse that a urinary tract infection (UTI) has progressed to renal failure? | -Oliguria - Flank pain |
| The nurse is caring for an older adult patient who complains of cloudy urine. Urinalysis indicates a bacteria count of 5 × 102 CFU/mL. The nurse understands that which treatment is most appropriate for this patient? | Oral nitrofurantoin therapy |
| A patient presents with a fever of 102° F, fatigue, nausea, and urinary urgency. On percussion during physical examination, the nurse notes costovertebral tenderness on the left side. Urinalysis indicates bacteriuria. Which provider order would the nurse | Administer intravenous (IV) ampicillin. |
| A patient presents with urinary pain and urgency but no systemic symptoms. Urinalysis indicates a bacteria count of 103 CFU/mL. The patient’s chart indicates no coexisting obstruction or health concern. However, the patient has been seen for urinary tract | Ciprofloxacin |
| A patient presents with suprapubic pain, fever, and chills. The nurse notes heart rate of 112 beats/min, blood pressure of 146/88 mm Hg, and oxygen saturation of 100%. Which assessment findings would be most concerning? | Elevated white blood cell (WBC) count |
| A patient who is 5’5” and 180 lb is diagnosed with a urinary tract infection (UTI). The patient reports drinking 50 ounces of water a day and regular bowel movements and urination throughout the day. Which additional information should the nurse provide t | Tell patient to increase water intake to 90 ounces per day. |
| The nurse is caring for a patient being treated with ciprofloxacin for a catheter-associated urinary tract infection (UTI). Which assessment finding would be most concerning to the nurse? | Costovertebral angle (ACVA) tenderness |
| A patient presents with nausea and vomiting with fatigue, headache, and extreme thirst. The nurse notes tenderness over the left flank, pyuria, and a white blood cell count of 15. What collaborative care is a priority for this patient? | - Hospitalization - Intravenous (IV) antibiotic therapy - Intravenous (IV) fluid therapy |
| A patient presents with chlamydia-associated urethritis. What patient education is necessary to prevent spread of the disease? | Report infection to sexual partners. |
| A female patient presents with urinary frequency and dysuria. The nurse notes white blood cells in the urine and bacteriuria. What patient education is necessary to prevent future infections? | - Continue taking the medication - Obtain necessary follow up care - Void immediately after sex - Wear loose-fitting pants and underwear |
| A patient diagnosed with acute pyelonephritis is treated with a full course of ampicillin. The patient asks whether he needs to be doing anything else to treat the infection, even though the symptoms have resolved. What is the appropriate response from th | “Continue to increase oral fluid intake even if symptoms have resolved.” |
| Which conditions may put a patient at risk for developing a fungal urinary tract infection (UTI)? | - AIDS diagnosis - Renal failure - Chronic bacterial infections |
| Which infections of the urinary tract may manifest systemically as symptoms of fever, chills, and flank pain? | - Upper urinary tract infection (UTI) - Acute pyelonephritis |
| Which urinary symptoms would indicate to the nurse that a urinary tract infection (UTI) has progressed to renal failure? | -Oliguria - Flank pain |
| The nurse is caring for an older adult patient who complains of cloudy urine. Urinalysis indicates a bacteria count of 5 × 102 CFU/mL. The nurse understands that which treatment is most appropriate for this patient? | Oral nitrofurantoin therapy |
| A patient presents with a fever of 102° F, fatigue, nausea, and urinary urgency. On percussion during physical examination, the nurse notes costovertebral tenderness on the left side. Urinalysis indicates bacteriuria. Which provider order would the nurse | Administer intravenous (IV) ampicillin. |
| A patient presents with urinary pain and urgency but no systemic symptoms. Urinalysis indicates a bacteria count of 103 CFU/mL. The patient’s chart indicates no coexisting obstruction or health concern. However, the patient has been seen for urinary tract | Ciprofloxacin |
| A patient presents with suprapubic pain, fever, and chills. The nurse notes heart rate of 112 beats/min, blood pressure of 146/88 mm Hg, and oxygen saturation of 100%. Which assessment findings would be most concerning? | Elevated white blood cell (WBC) count |
| A patient who is 5’5” and 180 lb is diagnosed with a urinary tract infection (UTI). The patient reports drinking 50 ounces of water a day and regular bowel movements and urination throughout the day. Which additional information should the nurse provide t | Tell patient to increase water intake to 90 ounces per day. |
| The nurse is caring for a patient being treated with ciprofloxacin for a catheter-associated urinary tract infection (UTI). Which assessment finding would be most concerning to the nurse? | Costovertebral angle (ACVA) tenderness |
Created by:
Brandi Sizemore
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