Genitourinary Infections for Certified Emergency Nursing (CEN)

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

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

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:

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

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 assessment data are characteristic of UTI?

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

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