NR 507 Week 8 Exam Advanced Pathophysiology Expected
Questions and Answers 2024-2025
NR 507 Week 8 Exam Advanced Pathophysiology Expected
Questions and Answers 2024-2025
Which of the following is true regarding a complicated urinary tract infection? Answer-
Can be caused by a structural urinary tract disorder
Which of the following is a risk factor for the development of a urinary tract infection
(UTI)? Answer- pregnancy
A symptom of a lower urinary tract infection includes: Answer- urgency
Women are at a higher risk for the development of a UTI because of having a shorter
urethra. Answer- true
Which of the following can help to prevent a UTI? Answer- increase water
consumption
Risk factors for a UTI Answer- pregnancy
sexually active
post-menopause
estrogen-deficiency
women (shorter urethra)
catheterization
An upper UTI is less common in men due to the longer urethra and ureter structures
that make it more difficult for bacteria to reach the kidney. Answer- true
complicated UTI Answer- -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 cathetersrenal calculiDiabetesPregnancy
uncomplicated UTI Answer- -Occurs in the normal urinary tract
-Responds well to a short course of antibiotic therapy
-Simple cystitis in non-pregnant women without any urologic abnormalities
Most common cause of UTI bacteria Answer- E coli
Uncomplicated UTI Answer- Protein +/_
Leukocyte Esterase +
Nitrites +/_
RBCs +/_
WBCs +/> 5000/hpf
, NR 507 Week 8 Exam Advanced Pathophysiology Expected
Questions and Answers 2024-2025
Casts - None
Complicated UTI Answer- Protein +/_
Leukocyte Esterase +
Nitrites +/_
RBCs +
WBCs +/> 100,000/hpf
Casts +
NP education Answer- -Drink more water.
-Although there are differences of opinions, cranberry juice and vitamin C can help to
acidify the urine.
-Urinate before and after sexual intercourse to remove bacteria from the urethral area.-
Encourage the female to avoid holding urine for extended periods of time
-Avoid the use of hygiene sprays and spermicides because they alter the normal
microbial flora to enhance the risk for infection.
-Encourage the female to wipe from the front to the back after a bowel movement to
avoid spreading bacteria to the urethra
-Encourages showers rather than bathing to avoid the spread of bacteria.
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: Answer- cystitis
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 culture was obtained and came
back positive for nitrites and RBCs. Urine microscopy revealed >100,000 WBC/hpf and
casts.
Based on the information provided in the case, the patient can most likely be diagnosed
with: Answer- pyelonephritis
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Expertstudynursingpapers. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.99. You're not tied to anything after your purchase.
