Common Pathogens for UTI

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

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:

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

Which assessment data are characteristic of UTI?

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

Which organism is the most common cause of UTI?

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

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:

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

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

Which urinalysis finding is consistent with obstructive uropathy?

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:

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 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:

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?

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:

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