100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
NRNP 6550 Final Exam-(189 Correct Answers), NRNP 6550N Final Exam, NRNP 6550 - Advanced Practice Care of Adults in Acute Care Settings II, Walden University R659,91   Add to cart
Quickly navigate to
Preview
  2.  
  3. NRNP 6550 NRNP Walden
  4.  
  5. NRNP 6550 NRNP Walden

Exam (elaborations)

NRNP 6550 Final Exam-(189 Correct Answers), NRNP 6550N Final Exam, NRNP 6550 - Advanced Practice Care of Adults in Acute Care Settings II, Walden University

1 review
 12 views  0 purchase
  • Course
  • NRNP 6550 NRNP Walden
  • Institution
  • NRNP 6550 NRNP Walden

NRNP 6550 Final Exam-(189 Correct Answers), NRNP 6550N Final Exam, NRNP 6550 - Advanced Practice Care of Adults in Acute Care Settings II, Walden University

Preview 4 out of 69  pages

Document information

  • September 30, 2023
  • 69
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

Subjects

  • nrnp 6550 final exam
  • nrnp 6550n final exam
  • walden university
  • nrnp 6550 advanced practice care of adults in ac

Written for

  • NRNP 6550 NRNP Walden
All documents for this subject (4)

1  review

review-writer-avatar

By: Onedollar • 9 months ago

Seller

avatar-seller
NURSwalden

Reviews received

Content preview

NRNP 6550 Final Exam

 189 Verified and Correct answer
 Already best reviewed document
 Secure better grades

, NRNP 6550 Final Exam

Urine culture with UTI
Correct answer
- 100.000 colonies in asymptomatic: bacteruria
10 - 10.000 colonies in symptomatic patients but also pyuria
pyuria: more than 10 leukocytes
elevated erythrocytes with
pyelonephritis WBC in urine

false positive with tumor, urethritis and poor collection technique

Repeat in pregnant women

Lower urinary tract UTI and upper urinary tract UTI
Correct answer
- bladder and urethra: cystitis/ urethritis/ prostatitis
kidney and ureters: pyelonephritis/ renal abcess

Uncomplicated and complicated uti Correct answer- Uncomplicated: in normal
working urinary tract
Complicated: defects in urinary tract or with other health problems

Common pathogens for UTI
Correct answer
- E.coli (elderly women)
Staphylococcus
proteus mirabilis (elderly men)
Klebsiella
enterecoccu
s
pseudomon
as
Providencia
(institutionalized)
Fungus: candida

Risk factors for UTI
Correct answer
- Female critically ill
elderly
catheter (caused by

,biofilm) DM
calculi, tumor,
stricture
neurogenic bladder
Women:
sexual intercourse or new sex
partner pregnancy
previous
UTI Men:
prostate
enlargement
prostatitis
lack of
circumcision gay
HIV

Findings UTI
Correct answer- Lower: Dysuria/
urgency/ frequency/ incontinence
suprapubic pain
hematuria
fever/ chills
uncommon No flank
pain

Upper:
flank pain
fever and
chills
hematuria
n/v
ams (in
elderly)
malaise
tachycardia/ tachypnea

Testing and results for UTI
Correct answer- Gold standard: urine culture and sensitivity: detection of
bacteria. Start with POC: urine analysis.
UA: pos for nitrite or leukocyte or
blood CBC: leukocyte with left shift in
pyelonephritis
For recurrent UTI in women or UTI in men rule out obstruction, calculi, or
necrosis with: xr voiding
CT
abdomen
US pelvis
MRI pelvis

, Management acute cystitis
Correct answer- First line:
- Single dose Fosfomycin (monurol)
- 3 day: sulfa: trimethoprim/ sulfa (bactrim) (do not give near delivery
of baby, give cephalexin instead) or sulfa
- 5 days: nitrofurantoin, caution in elderly

Second line:
- qiunolones: ciprofloxain or levofloxacin for 3 days (not for pregnant women!)
- B-lactams: amoxi-clav, cefdinir for 3 - 7 days

Management uncomplicated upper UTI
Correct answer- Outpt: quinolone: ciprofloxacin for 7
days or levofloxacin for 5 days Sulfa: trimethoprim/
sulfa (bactrim) for 14 days

Inpt:
Ceftriaxone or cefotaxime
Ampicillin

CAUTI:
bacterial: treat with AB for 7
days Candiduria: fluconazole
for 14 days

Discomfort: Pyridium

Management acute complicated bacterial pyelonephritis Correct answer- -
Admit
- Aminoglycosides: gentamicin/ tobramycin (not for monotherapy),
based on renal function (trough less than 2 and peak level 5-10mg/L)
and do not give for CKD
- Ampicillin
- Cefazolin
- Cefotaxime and Ceftriaxon based on obesity and pulm disease

Urine analysis: glucose and ketones Correct answer- Serum glucose at least
180mg/dl for glucose to appear in urine

Glucose in ua caused by:
- Fancone Syndrome (bad wall: caused by ahminoglycosides for example)
- DM
- Cushing's
- Vit C can give false negative

Ketones in urine:
- Alcohol
- Diabetic
- Starvation

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

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

Quick and easy check-out

You can quickly pay through EFT, credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

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 this summary from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller NURSwalden. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy this summary for R659,91. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

75759 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy summaries for 14 years now

Start selling
R659,91
  • (1)
  Buy now