NR507/ NR 507 Week 4 EXAM
(Latest 2024/ 2025 Update) Advanced Pathophysiology
| Complete Guide with Questions and Verified Answers|
100% Correct |Grade A – Chamberlain
Which of the following is a risk factor for the development of a urinary tract infection (UTI)?
a. Pregnancy
b. Perimenopause
c. Frequent showering
d. Marathon running
a
Which of the following is true regarding a complicated urinary tract infection?
a. Is associated with young adults
b. Can be caused by a structural urinary tract disorder
c. It is usually asymptomatic
d. Bacteria is located mostly in the lower urinary tract
b
Women are at a higher risk for the development of a UTI because of having a shorter urethra.
T
A symptom of a lower urinary tract infection includes:
a. Fever
b. Decreased Urination
c. Urgency
d. Flank pain
c
Which of the following can help to prevent a UTI?
a. Douching to prevent the growth of bacteria
b. Use spermicides during sexual intercourse
c. Increase water consumption
d. Taking more Vitamin D c
uncomplicated UTI
* Occurs in the normal urinary tract
* Simple cystitis in non-pregnant women without any urologic abnormalities
* Responds well to a short course of antibiotic therapy
Complicated UTI
* A UTI that extends beyond the bladder
* Caused by structural or functional urinary tract abnormalities or untreated UTI
* Infants and older adults affected
* Associated with:
indwelling catheters
renal calculi
Diabetes
Pregnancy
A 25 year- old female presents to the primary care office with urinary burning and frequency for
the last 3 days. She denies any fever, chills, back pain. Her gynecological history is negative and reports no vaginal discharge. The only new information reported is that she recently had sexual intercourse with a new male partner.
The NP obtains a urinalysis and determines that the urine contains leukocytes, RBCs, nitrites, and WBCs. No casts are identified. Based on symptom presentation and UA results, the patient can be diagnosed with:
a. Complicated UTI
b. Cystitis
c. Upper UTI
d. Pyelonephritis
b
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 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 when touched. A urine c
d
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