Module 9.8 UTI

The nurse is caring for a patient diagnosed with acute pyelonephritis. The patient asks, "What exactly is this?" Which statement by the nurse is accurate? -"An infection of the kidney that is caused by bacteria." -"A decrease in renal perfusion from changes in microscopic blood vessels." -"Inflammation of the ascending infection caused by the shrinking of the renal tubules." -"Scarring of the renal tubules that occurs from prolonged inflammatory response."

"An infection of the kidney that is caused by bacteria."

The nurse is reviewing the chart of a patient diagnosed with pyelonephritis. Which subjective statement should the nurse anticipate from the patient related to the pathophysiological changes of pyelonephritis?

"I have been vomiting for the last few days."

The nurse is teaching a parent preventive measures for decreasing the risk of urinary tract infections in their child. Which statement by the parent demonstrates an understanding of the preventive teaching? -"I will have to redo the toilet training of my child after this to prevent another infection." -"I will use soy milk instead of dairy milk to prevent future UTIs." -"I will use an antiseptic disposable wipe to cleanse my child after a bathroom visit to avoid future UTIs." -"I will avoid giving my child citrus juices to drink."

"I will avoid giving my child citrus juices to drink."

The nurse is providing dietary teaching to a patient for the prevention of urinary tract infections (UTIs). Which patient statement indicates the the need for further teaching? -"I will increase my intake of vitamin A." -"I will drink 2 glasses of low-sugar cranberry juice daily." -"I will drink almond milk instead of regular milk." -"I will avoid drinking fruit juices every day."

"I will increase my intake of vitamin A."

The nurse is providing nutritional discharge instructions for a patient with a urinary tract infection (UTI). Which patient statement indicates the need for further teaching? -"I will make sure the cranberry juice I am drinking is low in sugar." -"I will make sure that I drink at least 2 liters of fluid a day." -"I will limit my caffeine to 1 cup of coffee a day." -"I will increase my intake of vitamin C."

"I will limit my caffeine to 1 cup of coffee a day."

A patient diagnosed with a urinary tract infection provides a urine sample for culture and sensitivity. The patient asks, "I know I have an infection, so why do you have to do this test?" Which is an accurate response by the nurse? -"The test can identify the changes associated with the infection." -"The test provides an evaluation of kidney function." -"Bacteria and blood cells can be identified in the urine." -"It enables your healthcare provider to choose an effective antibiotic."

"It enables your healthcare provider to choose an effective antibiotic."

The nurse reviewed CAUTI guidelines. Which statement demonstrates the nurse's understanding? -"The catheter should be removed when the patient is ready to void without assistance." -"The pericare should be scheduled to be completed prior to the patient's ambulating." -"The catheter should be removed as soon as the order is received." -"The catheter should be removed as soon as the patient can ambulate to the bathroom."

"The catheter should be removed when the patient is ready to void without assistance."

The nurse is administering a urinary analgesic for pain associated with a UTI. The patient asks the nurse, "How will this help my pain?" Which response by the nurse is accurate? -"The medication will help flush out the bacteria causing the infection." -"The medication will decrease the inflammation and reduce the irritation you are feeling." -"The medication will decrease the pain in your kidneys." -"The medication will cause numbness in the bladder so you will not feel pain."

"The medication will decrease the inflammation and reduce the irritation you are feeling."

The nurse caring for a patient with a history of urinary tract infections (UTIs) states that vesicoureteral reflux is suspected as the causative factor. Which statement by the nurse further explains this? -"Vesicoureteral reflux is a result of an accumulation of urine that has flowed back into your kidneys." -"Vesicoureteral reflux results because you do not voluntarily completely empty your bladder." -"Vesicoureteral reflux involves backflow of urine from the bladder back into your kidneys." -"Vesicoureteral reflux is a condition where bladder spasms cause irritation of the lining of your bladder."

"Vesicoureteral reflux involves backflow of urine from the bladder back into your kidneys."

The nurse is caring for a 20-year-old who has had several recent urinary tract infections (UTIs). The patient states, "I would like to talk about nutritional options to help prevent urinary tract infections." Which statement by the nurse provides the patient with evidence-based information? -"You should avoid foods high in sugar; they are a causative factor for UTIs." -"Research does not support the restriction of food related to the decreased incidence of UTIs." -"You should avoid alcoholic beverages, because its consumption has been linked to increased risk for UTIs." -"Cranberry juice should be avoided, because it has not been proven to reduce UTIs."

"You should avoid alcoholic beverages, because its consumption has been linked to increased risk for UTIs."

The nurse is caring for a patient diagnosed with a urinary tract infection (UTI) who rates the pain as 3 on a scale of 0-10. Which comfort measure should the nurse initiate in addition to administering prescribed treatment for pain relief?

Apply warm packs to the perineum.

A patient with a urinary tract infection (UTI) states, "I will take my antibiotic, but I really do not like taking medication. What else can I do for the discomfort?" Which intervention should the nurse recommend to the patient to promote comfort based on the understanding of complementary therapy? -Integrating saw palmetto into the treatment plan -Drinking adequate fluids -Aromatherapy -Adding chamomile oil to the bathwat

Aromatherapy

The nurse is caring for a patient who has abdominal pain and painful urination. Which diagnosis should the nurse suspect based on these symptoms? -Cystitis -Epididymitis -Pyelonephritis -Prostatitis

Cystitis

The nurse is preparing to perform a physical examination on a patient suspected to have pyelonephritis. Which physical assessment should the nurse perform?

Percuss for costovertebral tenderness.

Which factor poses the greatest risk for a urinary tract infection? -Decreased intake of dairy products -Placement of a urinary catheter -Increase in urinary motility -Age of the patien

Placement of a urinary catheter

A patient diagnosed with a urinary tract infection (UTI) reports the pain at 7 on a 0-10 scale. Which drug classification should the nurse expect to find on the medication administration record (MAR)? -Urinary analgesic -Glycopeptide antibiotics -Penicillin antibiotics -Sulfonamide antibiotics

Urinary analgesic

A patient who has been treated empirically for a urinary tract infection (UTI) over the past 3 days with the antibiotic nitrofurantoin is experiencing worsening symptoms. Which urine test should the nurse anticipate to hasten identification of the type of microorganism causing the UTI? -Urine Gram stain -Culture and sensitivity -WBC count with a differential -Urinalysis

Urine Gram stain

The nurse is caring for a patient who presents with symptoms of a urinary tract infection (UTI). Which collaborative intervention should the nurse anticipate to determine appropriate treatment? -Intravenous pyelography -Pelvic examination -Cystoscopy -Urine culture and sensitivity

Urine culture and sensitivity