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CPN; Renal/Genitourinary Questions And Answers With Verified Solutions Already Passed (GRADED A+)
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CPN; Renal/Genitourinary Questions And Answers With Verified Solutions Already Passed (GRADED A+)
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CPN; Renal/Genitourinary QuestionsAnd Answers With Verified Solutions
Already Passed (GRADED A+)
Urinary Tract Infection UTI; Overview - ANSWER✔✔ *A microbial invasion of the
urinary tract
*More common in females bc of the placement and size of the urethra
-bladder infection=cystitis
-urethra infection=urethritis
-kidney infection=pyelonephritis
***Pathophysiology; E. coli causes 80% of cases
***Etiology;
-Vesicoureteral reflux; urine enters the bladder and then refluxes back up the
ureters to the kidneys, leading to both inflammation or the ureters and the
kidneys
-Bubble baths; promote bacteria up urethra; only if hx of UTI's
-Poor hygiene
-Incomplete bladder emptying
UTI; Assessment - ANSWER✔✔ *Hematuria
*Cloudy, foul-smelling urine
*Increase urinary pH
*Frequent urge to void
*Pain or burning on urination
*Low grade fever
*Lethargy or irritability
, *Poor feeding
*Enuresis (bed wetting); usually dry at night;
UTI; Intervention - ANSWER✔✔ *Antibiotic therapy to prevent
glomerulonephritis;
-Bactrim
-Amoxicillin
*Force fluids to flush the infection from the urinary tract
-clear fluids are best
-avoid carbonated or caffeinated drinks, as they irritate the bladder mucosa
*Teach proper toileting hygiene
-wipe from front to back
-encourage to use the toilet every 2 hours
*Discourage the use of bubble baths
Hypospadias; Overview and Assessment - ANSWER✔✔ Congenital anomaly of the
penis in which the urethral meatus opens on the ventral surface (underside)
**Complications:
-recurrent UTI's
-Infertility
*Incidence;1 in 300 live male births
Hypospadias; Interventions - ANSWER✔✔ *Anticipate avoidance of circumcision
-foreskin may be used later for surgical repair; can circumcise him later
*Anticipate surgery between 1-4 yrs
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