UTI Questions - MED SURGE

The nurse is reviewing with the health care provider the Nurses' Notes from the client's clinic visit 5 days ago and today. Which prescription(s) for care should the nurse anticipate? Select all that apply.

1. Change positions from lying down to standing slowly 2. Seek urgent medical care if unable to void 3. Teach the importance of finishing the prescribed course of antibiotics 4. Continue taking the antibiotic 5. Start taking tamsulosin 0.4 mg each day

The nurse is reviewing with the health care provider the Nurses' Notes of 0900 and the results of the qSOFA tool performed at 1030. Which prescription(s) for care will the nurse anticipate? Select all that apply.

1. Obtain a serum lactate level 2. Check vital signs every 15 minutes 3. Monitor level of consciousness every 15 minutes 4. Administer broad-spectrum antibiotics as prescribed 5. Prepare the client for transfer to the intensive care unit (ICU)

An older adult client is being evaluated for suspected pyelonephritis and is ordered kidney, ureter, and bladder (KUB) x-ray. The nurse understands the significance of this order is related to which rationale?

Detects calculi, cysts, or tumors

Which instruction would be included in a teaching plan for a client diagnosed with a UTI?

Drink liberal amount of fluids

The nurse reviews the laboratory results along with assessment data. Complete the following sentence by choosing from the list of options. The client's current condition is most likely _________.

Lower urinary tract infection

A nurse is planning a group teaching session on the topic of urinary tract infection (UTI) prevention. Which point should the nurse include?

Notify the physician if urinary urgency, burning, frequency, or difficulty occurs

Which of the following is classified as a upper urinary tract infection (UTI)? Select all that apply.

- Acute pyelonephritis - Renal abscess

A gerontologic nurse is assessing a client who has numerous comorbid health problems. What assessment finding(s) should prompt the nurse to suspect a UTI? Select all that apply.

- Fever - New onset confusion

Which assessment finding requires immediate attention?

- Foul-smelling urine - T 38.6 (101.4) - Cloudy urine

An older adult reports urinary incontinence that has been occurring for years. On which areas will the nurse focus when assessing this client's concern? Select all that apply.

- Polyuria - Infection - Respiratory rate

An older adult client who is postmenopausal informs the nurse that she believes she has developed another urinary tract infection (UTI). What risk factors do female clients in this age group have? Select all that apply.

- Residual urine - Urinary incontinence - Estrogen deficiency

A patient has a suprapubic catheter inserted postoperatively. What would be the advantages of the suprapubic catheter versus a urethral catheter? Select all that apply.

- The suprapubic catheter permits measurement of residual urine without urethral instrumentation - The patient can void sooner than with a urethral catheter - The suprapubic catheter allows for more mobility

Which interventions can the nurse plan to address the risk for future urinary tract infection recurrence?

- assess knowledge of home glucose monitoring - assess for additional assistance needs at home - assist with frequent toileting - assist with good hygiene - promote oral fluid intake - provide education of early warning signs

Click to highlight the assessment data the nurse recognizes as most relevant when caring for this client:

- increase in confusion and discomfort when urinating - oriented to person only - strong odor of urine noted on clothing - wearing disposable briefs for urinary incontinence - unable to get in the shower anymore without assistance - blood pressure 100/58 mm Hg

What additional information would be useful to assist in analyzing current cues presented in the assessment data?

- urinalysis - serum electrolytes - serum glucose level

Which objective symptom of a UTI is most common in older adults, especially those with dementia?

Change in cognitive functioning

A patient comes to the clinic suspecting a possible UTI. What symptoms of a UTI would the nurse recognize from the assessment data gathered?

Cloudy urine

The nurse is completing a routine urinalysis using a dipstick. The test reveals an increased specific gravity. The nurse should suspect which condition?

Decrease fluid intake

A client with a spinal cord injury says he has difficulty recognizing the symptoms of urinary tract infection (UTI). Which symptom is an early sign of UTI in a client with a spinal cord injury?

Fever and change in urine clarity

A nurse is teaching a female client with a history of multiple urinary tract infections (UTIs). Which statement indicates the client understands the teaching about preventing UTIs?

I should take at least 1,000 mg of vitamin C each day

The nurse is conducting a community education program on UTIs. The nurse determines that the participants understand the teaching when they identify which factor is contributing to UTIs in older adults?

Immunocompromise

The nurse is teaching a health class of older adults about urinary tract infections (UTI)s. What characteristic of UTIs should the nurse cite?

The prevalence of UTIs in older men approaches that of women in the same age group

A female client has been prescribed a course of antibiotics for the treatment of a urinary tract infection (UTI). When providing health education for the client, the nurse should address what topic?

The risk of developing a vaginal yeast infection as a consequence of antibiotic therapy

Which is the procedure of choice for men with recurrent or complicated UTIs?

Transrectal ultrasonography

The nurse is caring for a patient with dementia in the long-term care facility when the patient has a change in cognitive function. What should the nurse suspect this patient may be experiencing?

UTI

A nurse is reviewing a report of a client's routine urinalysis. Which value requires further investigation?

Urine pH of 3.0

The nurse is teaching a client with recurrent urinary tract infections (UTIs) ways to decrease risk for additional UTIs. The nurse includes which information?

Void immediately after sexual intercourse