NURS 651 EXAM 3 MARYVILLE UNIVERSITY
LATEST 2023-2024 ACTUAL EXAM 150
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES |
Terms in this set (162)
Includes bladder, (cystitis) urethera (urethritis) and
UTI: Defintion
kidney (pyelonephritis)
-Fever may be only sign infants a & young child
Signs and symptoms of UTI -Older children=urinary symptoms ( new onset
incontinence, dysuria, frequency, abdominal pain
FEMALE, Uncircumcised male, GENETICS, (Anatomy),
Risk factors of UTI BOWEL/BLADDER Dysfunction, Obstruction,
Catheterization, SEX, Reflux
Temp, BP, abd exam for mass, tenderness. suprapubic or
costovertebral tenderness, check external genitalia, eval
Exam for UTI
lower back for signs of occult myelomeningiocele, check
other sources for fever.
-clean catch, cath, suprapubic UA
*dipstick, urine culture.
-+ leukocyte esterase=pyuria
-+nitrate=bacteria
UTI testing
*C/S
-+100,000 colonies for dx; may treat 50,000 or greater
UTI cal app to estimate probability of UTI (ages 2 -23
months)
, Girls:
2-11 months of age temp > 100.4 (non-black)
2-11 months of age temp of 102.2 OR the,p 100.4 and no
other fever source identified.
12-24 months of age temp 102.2 (non black)
Indications for urine sample
12-24 months of age 102.2 and no other source of fever
identified.
>24 months One or more of the following: dysuria,
frequency, new onset incontinence, back pain,
abdominal pain, fever of 102.2 and no other acute cause.
Infant UTI non specific symptoms or asymptomatic
Newborn- irritability, poor feeding, diarrhea, fever,
vomiting. jaundice, hypothermia, cyanosis, lethargy
Infants//todlers/preschool: diarrhea, vomiting, fever,
UTI symptom cluster poor feeding, strong urine odor, irritability, poor weight
gain, diaper rash
Schoolage/adolescents; fever, vomiting, strong urine
odor, urethral pain or suprapubic, dysuria, incontinence.
Chemical irritation (bubble bath)
vulvovaginitis
dysfunctional voiding
UTI differential diagnosis acute abdomen ( appe, STD)
Foreign body
Sexual abuse
Dysfunctional voiding related to constipation
Clean catch urine midstream
(bagged specimen don't do it)
Straight Cath for mod to severe symptoms
UTI specimen collection Suprapubic aspiration: only when culture is urgently
needed. ( + is > 1000 colonies)
_blood culture obtained for <12months and suspected
sepsis
