Genitourinary Infections for Certified Emergency Nursing (CEN)
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Included In This Lesson
Study Tools For Genitourinary Infections for Certified Emergency Nursing (CEN)
Urinary System Anatomy (Cheatsheet)
Anatomy of Urinary System (Image)
Urinary Tract Infection Prevention and Treatment (Picmonic)
Urinary Tract Infection Symptoms (Picmonic)
Outline
Genitourinary Infections
Definition/Etiology:
- Primarily affects bladder (acute cystitis)
- Most common organism E. coli
- Women – Higher risk than men, shorter urethras, New sexual partner
- Men – Incomplete bladder emptying, Enlarged prostate
Pathophysiology:
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Clinical Presentation:
- Dysuria, burning, urgency, frequency, nocturia
- Suprapubic pressure or low back pain
- Urine may be cloudy, foul-smelling
- Possible low-grade fever
- Urinary retention in males
- Altered mental status (AMS) may be only symptom of the UTI in elderly
Urosepsis:
- Elderly, diabetics, immunocompromised at higher risk
- Present atypically; altered mental status may be only symptom of UTI in the elderly patient
Collaborative Management:
Assessment:
- Urinalysis – hematuria, WBCs, Positive leukocyte esterase, Nitrite
- CBC with differential
Interventions:
- Antibiotics
- Trimethoprim and sulfamethoxazole
- Nitrofurantoin
- Ciprofloxacin
Pain management:
- NSAIDs
- phenazopyridine
Evaluation | Patient Monitoring | Education:
Discharge teaching:
- Encourage fluid intake
- Phenazopyridine will turn urine bright orange
Linchpins: (key Points)
- Urgency/Frequency
- If left untreated, common symptoms can lead to Pyelonephritis
- Be sure to finish antibiotics
Transcript
For more great CEN prep, got to the link below to purchase the “Emergency Nursing Examination Review” book by Dr. Laura Gasparis Vonfrolio RN, PHD
https://greatnurses.com/
References:
- Savone, D. (2017). Genitourinary, Gynecology, and Obstetrical Emergencies. In CEN Online Review. Emergency Nurses Association.
Adaptive Brain SIMCLEX Study Plan – 9 Oct 2025
Concepts Covered:
- Musculoskeletal Disorders
- Delegation
- Perioperative Nursing Roles
- Postoperative Nursing
- Medication Administration
- Communication
- Community Health Overview
- Urinary Disorders
- Infectious Respiratory Disorder
- Respiratory Emergencies
- Fundamentals of Emergency Nursing
Study Plan Lessons
Nursing Care Plan for Osteomyelitis
Accountability and Assistance for Personal Limitations for Certified Perioperative Nurse (CNOR)
Hemorrhage Nursing Interventions for Certified Perioperative Nurse (CNOR)
HCIR Management (Healthcare Industry Representative) for Certified Perioperative Nurse (CNOR)
Labeling (Medications, Solutions, Containers) for Certified Perioperative Nurse (CNOR)
Delegation and Personnel Management for Certified Perioperative Nurse (CNOR)
Healthcare Team Member Supervision and Education for Certified Perioperative Nurse (CNOR)
Medication Reconciliation Review for Certified Perioperative Nurse (CNOR)
Facilitation of Learning for Progressive Care Certified Nurse (PCCN)
Healthcare-Acquired Infections: Catheter-Associated Bloodstream Infections (CAUTI) for Progressive Care Certified Nurse (PCCN)
Respiratory Infections (Pneumonia) for Progressive Care Certified Nurse (PCCN)
Acute Respiratory Distress Syndrome (ARDS) for Progressive Care Certified Nurse (PCCN)
Delegation of Tasks to Assistive Personnel for Certified Emergency Nursing (CEN)
Genitourinary Infections for Certified Emergency Nursing (CEN)
Urinary Retention for Certified Emergency Nursing (CEN)