NURS 6202 Exam 1 with complete
solutions
5 rights of delegation - ANSWER- right task
right circumstance
right person
right direction/communication
right supervision/evaluation
TAPE (delegation) - ANSWER- -Teaching, assessment, planning, evaluating
-must be done by an RN
CNA delegation - ANSWER- ambulating, turning, bathing, I&O, oral care, toileting,
basic ostomy care, linen change, feeding, VS if stable, weights
LPN delegation - ANSWER- -Gathers Data
-Performs routine procedures: ostomy, catheter, insertion, wound care, blood
glucose, EKG
-Oral and IM meds
-Stable patients only
Urinary tract infection - ANSWER- -second most common bacterial disease
-E.coli most common pathogen
-Dx: urinalysis
UTI risk factors - ANSWER- Pregnancy, menopause, habitual delay of urination,
instrumentation, sexual intercourse
UTI symptoms - ANSWER- -Dysuria, frequency, urgency, suprapubic discomfort
or pressure
-elderly have more vague symptoms- confusion, falls
, UTI treatment - ANSWER- trimethoprim-sulfonamide (TMP-SMX) or nitrofurantoin
(Macrodantin)
*Antibiotics
UTI health promotion - ANSWER- Teaching preventive measures- urinating
frequently, water, wiping from front to back, urinating after intercourse
Cystitis - ANSWER- inflammation of the bladder
-Sx: urgency, frequency, pain in the bladder/pelvis
- Stress management techniques, tricyclic antidepressants and OTCs help with
burning pain and urinary frequency; avoid clothing that creates suprapubic
pressure
Urethritis - ANSWER- -inflammation of the urethra
-most commonly from an STI
-Sx: discharge, dysuria, urgency, and frequency
-tx: underlying cause and symptomatic relief
Pyelonephritis - ANSWER- -inflammation of renal parenchyma and collecting
system
- most common cause is bacterial infection that begins in the lower urinary tract
-Sx: mild fatigue to sudden onset of chills, fever, vomiting, malaise, flank pain,
and the lower UTI characteristics
-Tx: antibiotics and hydration
- teaching: medication, follow up urine culture
glomerulonephritis - ANSWER- -inflammation of the glomeruli
-results from antibody-induced injury
-sx: hematuria, and urine excretion of RBC, WBC, proteins
- will need extensive lab work
-tx: supportive and symptomatic
Acute poststreptococcal glomerulonephritis - ANSWER- -develops 5 to 21 days
after infection
-manifestations: generalized body edema, hypertension, oliguria, hematuria with
rusty appearance, proteinuria
Urinary calculi - ANSWER- - Various types: calcium phosphate, calcium oxalate,
uric acid, cysteine, struvite
-Diet needs: fluid intake, low sodium
-Sx: severe abdominal or flank pain, hematuria, renal colic
