In caring for a patient with an indwelling urinary catheter, strategies to reduce the risk of infection would include all except:

Which of the following is not seen in a patient with prostatitis?

In a patient diagnosed with a UTI, the nurse practitioner writes prescriptions for Bactrim and Pyridium. Which statement best reflects that the patient needs further discharge instructions?

A 26-year-old woman arrives at the ED complaining of dysuria, fever of 101o F (38.3oC), and urinary frequency. She has had these symptoms for 36 hours. Physical examination reveals suprapubic tenderness but no flank pain. No history of UTI or urologic instrumentation is evident. She informs the nurse that she had sexual intercourse 12 hours before the onset of symptoms. She has no significant medical history and takes no medications. Her complete blood count, serum electrolyte, BUN, and glucose levels are normal. A tentative diagnosis of UTI is made, and urine specimens for analysis and culture are sent to the laboratory. When taking the health history, the nurse should remember to ask the patient about:

Which organism is the most common cause of UTI?

Which information about a UTI should the nurse include in the discharge teaching for a patient:

A 35-year-old man arrives at the ED with pain in the right flank that began 2 hours ago, spontaneously abated, and then suddenly recurred. The pain is severe, sharp, and radiates to the groin. Physical examination reveals tenderness in the right costovertebral angle. The patient’s pulse rate is 110 beats/minute, blood pressure 150/94 mmHg, temperature 100o F (37.8oC), and respiratory rate 24 breaths/minute. Laboratory results indicate a WBC count of 10,000/mm3 , normal hemoglobin and hematocrit levels, and normal serum electrolyte, BUN, and glucose levels. Urinalysis reveals an RBC count greater than 100 cells via high-powered field. An indwelling urinary catheter is inserted, and 800 mL of urine is obtained. The patient is sent for an emergency IVP. The nurse knows that management of a patient with obstructive uropathy is directed primarily toward:

Which diagnostic study would be necessary if a patient had hematuria?

Which assessment data are characteristic of UTI?

Which nursing action is most appropriate in the treatment of UTI?

The nurse notes that no urine has drained from a patient’s catheter for 2 hours. Which is the most appropriate nursing action to take?

A 48-year-old male arrives at the ED complaining of a decreased urine output. Which assessment finding is the most accurate indicator of this patient’s renal function?

A 62-year-old man arrives at the ED after being unable to urinate for the past 2 days. He appears slightly confused and complains of nausea, vomiting, and swollen ankles. His history reveals no renal dysfunction but a history of benign prostatic hypertrophy. Laboratory findings indicate a serum BUN level of 38 mg/dL and a serum creatinine level of 4 mg/dL. The nurse suspects that this patient is exhibiting signs and symptoms of:

A 35-year-old woman arrives at the ED complaining of nausea, vomiting, malaise, and a decreased urine output. She recently completed a 2-week course of cephradine (Velosef) for a UTI. Urinalysis reveals a sodium level of 40 mEq/L with a urine specific gravity of 1.0. Urine sediment includes casts, with few red blood cells (RBCs) or white blood cells (WBCs). Other laboratory findings include a serum BUN level of 40 mg/dL and a serum creatinine level of 4 mg/dL. Which condition is suggestive of the patient’s assessment findings?

Which nursing diagnosis would be appropriate for a patient who has undergone percutaneous nephrostomy:

The physician determines the need for a percutaneous nephrostomy. The initial goal in caring for this patient would be to:

The IVP reveals 100% obstruction of the right ureter with severe hydronephrosis in the right kidney. The physician determines the need for percutaneous nephrostomy. Which is the most appropriate explanation the nurse can offer the patient about this procedure:

A 62-year-old man arrives at the ED after being unable to urinate for the past 2 days. He appears slightly confused and complains of nausea, vomiting, and swollen ankles. His history reveals no renal dysfunction but a history of benign prostatic hypertrophy. Laboratory findings indicate a serum BUN level of 38 mg/dL and a serum creatinine level of 4 mg/dL. The nurse suspects that this patient is exhibiting signs and symptoms of:

The physician determines the need for percutaneous nephrostomy. Which test will provide the health care team with the most valuable diagnostic information in this situation?

After inserting a urinary catheter on a 58-year-old male, who complained of not being able to urinate for 3 days, and draining 2,500 mL of urine, the most important nursing intervention at this time would involve: