37 Questions
What should be evaluated in a patient with a catheter who suddenly develops signs and symptoms of septic shock?
Urosepsis
Which group is affected more frequently by bacteriuria among older adults?
Women
What is the most common infection among older adults?
Urinary Tract Infection (UTI)
What contributes to the increased incidence of UTIs in older adults?
Low fluid intake and excessive fluid loss
Which organism is most commonly seen in older patients with UTIs in the community or hospital?
Escherichia coli
Which organism is more likely to infect patients with indwelling catheters?
Klebsiella
What is a common symptom of UTI in postmenopausal women and older adults?
Nocturia
What is the significance of a colony count greater than 100,000 CFU/mL in urine cultures?
It suggests a possible UTI
What is a common finding in patients with acute UTI regarding white blood cells in the urine?
Pyuria
Which diagnostic tool is useful for detecting pyelonephritis or abscesses in UTI?
Computed tomography (CT) scan
What is the primary mechanism that helps maintain the sterility of the bladder in preventing Lower Urinary Tract Infections?
The physical barrier of the urethra
Which structures are involved in Upper Urinary Tract Infections?
Kidneys and ureters
What percentage of all hospital-acquired infections are Catheter-associated Urinary Tract Infections (CAUTIs)?
50%
Which of the following is classified as a lower Urinary Tract Infection?
Bacterial prostatitis
Which factor is a significant risk factor for developing Catheter-associated Urinary Tract Infections (CAUTIs)?
Having an indwelling urinary catheter
Why is the transurethral route the most common way for bacteria to enter the urinary tract?
Bacteria can travel easily from the periurethral area to the bladder through the urethra.
Why are symptoms of UTIs less common in older adults?
They have a higher threshold for pain perception.
Which type of urinary tract infection is more likely to manifest with gram-negative sepsis and shock?
Complicated UTI
What distinguishes complicated UTIs from uncomplicated UTIs?
Complicated UTIs tend to recur more frequently.
Which nursing diagnosis is most likely related to a patient with acute kidney injury or chronic kidney disease?
Impaired urinary elimination related to compromised blood supply
What is a potential collaborative problem associated with urinary tract infections?
Sepsis (urosepsis)
What is recommended to prevent recurrent urinary tract infections?
Clean the perineum from back to front after a bowel movement
Which action is advised to reduce concentrations of pathogens at the urethral opening?
Cleaning the perineum and urethral meatus from front to back
What voiding habit is recommended to prevent urinary tract infections?
Voiding every 2 to 3 hours and completely emptying the bladder
What is a precaution expressly recommended for women to prevent urinary tract infections?
Void immediately after penile-vaginal intercourse
Which type of urinary tract infection is much less common?
Upper UTI
What can be a potential cause of upper urinary tract infections?
Bacteria ascending from the bladder into the kidney
For recurrent urinary tract infections, what daily habit is recommended?
Consuming cranberry juice or capsules daily
How do bacteria typically reach the kidneys to cause pyelonephritis?
Via spread from systemic sources through the bloodstream
What is the trend regarding the duration of antibiotic therapy for uncomplicated UTIs in women?
Shortening the course of treatment
Levofloxacin used in treatment of uncomplicated UTI. this medication is of which of the followings?
Fluoroquinolone
What type of antibiotic resistance is a reason for not using ampicillin or amoxicillin alone for UTI treatment?
E.coli resistance
In which group of patients are longer medication courses typically indicated for UTI treatment?
Men, pregnant women, and women with pyelonephritis
Which urinary analgesic agent is used for symptomatic relief in UTIs?
Phenazopyridine
Why is Penicillin like ampicillin and amoxicillin not used alone for the treatment of UTI and pyelonephritis?
Due to Escherichia coli resistance.
For which type of UTIs is Trimethoprim-sulfamethoxazole typically used?
Pyelonephritis
Which antibiotic is recommended for the treatment of Pyelonephritis among the following options?
Levofloxacin
Test your knowledge on precautionary measures for women after penile-vaginal intercourse. Learn about voiding immediately, medication intake, timing of administration, and long-term antimicrobial therapy.
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