NR 507 Final
Which of the following is true regarding a complicated urinary tract infection? - ANSCan 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)? -
ANSPregnancy
A symptom of a lower urinary tract infection includes: - ANSurgency
Women are at a higher risk for the development of a UTI because of having a shorter urethra. -
ANStrue
Which of the following can help to prevent a UTI? - ANSIncrease water consumption
Uncomplicated UTI - ANSOccurs in the normal urinary tract
Responds well to short course of antibiotic therapy
Simple cystitis in non-pregnant women without any urologic abnormalities
Complicated UTI - ANSUTI extends beyond the bladder
Caused by structural or functional urinary tract abnormalities or untreated UTI
Infants and older adults affected
Associated with: indwelling catheters, renal calculi, diabetes, pregnancy
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: - ANScystitis
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 c -
ANSpyelonephritis
Identify the major risk factor J.S. has that is associated with pyelonephritis: - ANSindwelling
foley catheter
The urinalysis of a patient with a complicated UTI will show WBCs and casts - ANStrue
Upon examination of a urinalysis, the NP can highly suspect that the causative bacteria are
gram negative because of the presence of: - ANSnitrites
A 21-year-old patient reports to the primary care clinic complaining of urinary urgency, frequency
and burning. She also reports a small amount of vaginal discharge that contains an odor. It is
likely that the NP will perform a vaginal exam at this visit. - ANStrue
The NP would know that the patient most likely has an uncomplicated UTI because: - ANSThe
UTI responds well to a short course of antibiotic therapy.
A common organism that causes a urinary tract infection include: - ANSStaphylococcus
saprophyticus.
E coli
The purpose of straining in BPH is to overcome the obstruction encountered during urination. -
ANStrue
The peripheral zone of the prostate is the largest zone. - ANStrue
On a digital rectal exam to assess the quality of the prostate, the NP would be concerned with
which of the following findings? - ANShard nodule
There is a significant risk for men with benign prostatic hyperplasia (BPH) to develop cellular
mutations that lead to prostate cancer. - ANSfalse
The patient most often develops symptoms of BPH when: - ANSThe prostatic urethra becomes
obstructed.
Irritative symptoms - ANSurinary frequency
nocturia
urgency that results from bladder hypertrophy and dysfunction
obstructive symptoms - ANSincomplete emptying
post-void dribbling
The action of a 5-Alpha-reductase inhibitor causes: - ANSShrinkage of the prostate gland.
Which of the following is true regarding a complicated urinary tract infection? - ANSCan 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)? -
ANSPregnancy
A symptom of a lower urinary tract infection includes: - ANSurgency
Women are at a higher risk for the development of a UTI because of having a shorter urethra. -
ANStrue
Which of the following can help to prevent a UTI? - ANSIncrease water consumption
Uncomplicated UTI - ANSOccurs in the normal urinary tract
Responds well to short course of antibiotic therapy
Simple cystitis in non-pregnant women without any urologic abnormalities
Complicated UTI - ANSUTI extends beyond the bladder
Caused by structural or functional urinary tract abnormalities or untreated UTI
Infants and older adults affected
Associated with: indwelling catheters, renal calculi, diabetes, pregnancy
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: - ANScystitis
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 c -
ANSpyelonephritis
Identify the major risk factor J.S. has that is associated with pyelonephritis: - ANSindwelling
foley catheter
The urinalysis of a patient with a complicated UTI will show WBCs and casts - ANStrue
Upon examination of a urinalysis, the NP can highly suspect that the causative bacteria are
gram negative because of the presence of: - ANSnitrites
A 21-year-old patient reports to the primary care clinic complaining of urinary urgency, frequency
and burning. She also reports a small amount of vaginal discharge that contains an odor. It is
likely that the NP will perform a vaginal exam at this visit. - ANStrue
The NP would know that the patient most likely has an uncomplicated UTI because: - ANSThe
UTI responds well to a short course of antibiotic therapy.
A common organism that causes a urinary tract infection include: - ANSStaphylococcus
saprophyticus.
E coli
The purpose of straining in BPH is to overcome the obstruction encountered during urination. -
ANStrue
The peripheral zone of the prostate is the largest zone. - ANStrue
On a digital rectal exam to assess the quality of the prostate, the NP would be concerned with
which of the following findings? - ANShard nodule
There is a significant risk for men with benign prostatic hyperplasia (BPH) to develop cellular
mutations that lead to prostate cancer. - ANSfalse
The patient most often develops symptoms of BPH when: - ANSThe prostatic urethra becomes
obstructed.
Irritative symptoms - ANSurinary frequency
nocturia
urgency that results from bladder hypertrophy and dysfunction
obstructive symptoms - ANSincomplete emptying
post-void dribbling
The action of a 5-Alpha-reductase inhibitor causes: - ANSShrinkage of the prostate gland.
