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?

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

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

The nurse is assessing a patient with a hard scrotal mass that cannot be transilluminated. This finding most likely indicates:

Which organism is the most common cause of UTI?

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

Which assessment data are characteristic of UTI?

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

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

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 urinalysis finding is consistent with obstructive uropathy?

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

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:

Which laboratory finding is an indirect measurement of a patient’s glomerular filtration rate (GFR)?

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 58-year-old male has arrived at the ED complaining that he has not been able to urinate for 3 days. After inserting an indwelling urinary catheter and draining 2,500 mL of urine from the patient’s bladder, the nurse formulates a nursing diagnosis of:

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

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?

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?

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?