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CMN 568 Unit 5: Questions With Correct Solutions
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CMN 568 Unit 5: Questions With Correct Solutions
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CMN 568 Unit 5: Questions With Correct SolutionsMost common organism UTI in children Right Ans - E Coli
Increased risk for UTI in children with: Right Ans - Constipation
VUR
urinary tract obstruction and neurogenic bladder
poor perineal hygiene
structural abnormalities
catheterization
instrumentation of urinary tract
& sexual activity.
Circumcision related to UTI Right Ans - Reduces risk in males
Nonspecific signs of UTI in newborns and infants Right Ans - Fever
hypothermia
jaundice
poor feeding
irritability
FTT
vomiting
sepsis
Signs of UTI in preschoolers Right Ans - abdominal and flank pain
vomiting
fever
urinary frequency
dysuria
urgency
or enuresis
Signs of UTI in School age children Right Ans - Classic symptoms of cystitis
CVA tenderness Right Ans - Not common in young children but may be
present in school aged children
Physical exam for UTI Right Ans - BP assessment
, Abdominal exam - check for masses, one of most common abd. mass in
children is renal in origin.
GU exam
Lab findings UTI Right Ans - >5 wbc - Urine
nitrite on urine dip stick highly correlates with UTI
UTI gold standard for diagnosis Right Ans - Urine culture
VCUG (voiding cystourethrogram) Right Ans - No longer recommended
following first UTI in childhood but is recommended for young children with
2nd UTI and associated fever
Urine collection Right Ans - Bladder catheterization preferred in infants
and young children
Mid stream clean catch preferred for toilet trained or older children
Renal US Right Ans - recommended for children with UTIs, esp. if suspect
congenital urological abnormalities
Cystitis treatment Right Ans - Uncomplicated - amoxil, bactrim, or first gen
cephalosporin for 7-10 days
Frequently occurring UTIs can be treated prophalactically with bactrim and
macrobid
Glomerulonephritis - Classic features Right Ans - Hematuria, edema, TN, &
RBC casts in urine
Glomerulonephritis - assessment Right Ans - Require BP assessment
Renal function
serum albumin
Urine protein excretion
Acute Postinfectious Glomerulonephritis Right Ans - May follow recent
group A B-hemolytic strep infection (pharyngitis or impetigo)
Glomerulonephritis - Recovery Right Ans - In most cases full recovery
usually occurs within weeks
No specific treatment
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