Renal disorders

Question 1

Most common bacteria for UTI

Answer 1

E.coli

Question 2

Upper UTI

Answer 2

pyelonephritis
parenchyma
pelvis
ureters

Question 3

lower UTI

Answer 3

urethritis (urethra)

Cystitis (bladder)

Question 4

Systemic UTI

Answer 4

urosepsis; life threatening

Question 5

Defense mechanisms

Answer 5

Complete emptying
ureterovesical junction
Acidic pH (below 6.0
High urea
Glycoproteins

Question 6

Lower UTI manifestations

Answer 6

emptying problems: hesitancy, post void dribbling, retention

Storage symptoms: frequency, urgency, incontence
Hematuria and/or cloudy

Question 7

Upper UTI manifestations

Answer 7

flank p!
chills
fever

Question 8

Older adults UTI symptoms

Answer 8

non localized abdominal discomfort
Confusion
generalized deterioration

Question 9

Cystitis s/s

Answer 9

frequency
urgency
suprapubic p!
burning on urination

Question 10

Pyelonephritis s/s

Answer 10

flank p!

dysuria

Question 11

Initial studies:

Answer 11

Dipstick for nitrites, WBCs, leukocyte esterase

Question 12

uncomplicated management

Answer 12

adequate fluids

antibiotics

Question 13

recurrent UTI management

Answer 13

fluids; antibiotics

prophylactic antibiotics

Question 14

Pt teaching UTI

Answer 14

Empty bladder completely
Regular bowel movement
Wipe front to back
Drink water

Question 15

Acute care

Answer 15

adequate fluids
avoid irritating foods/fluids
heating pads

Question 16

Ambulatory care

Answer 16

void regularly 3-4 hrs
before or after intercourse
avoid bubble baths
sitting in wet bathing suits
no panny hose