Precautions for Women After Intercourse Quiz
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Questions and Answers

What should be evaluated in a patient with a catheter who suddenly develops signs and symptoms of septic shock?

  • E. coli infection
  • CAUTI
  • Septicemia
  • Urosepsis (correct)

    • Which group is affected more frequently by bacteriuria among older adults?

  • It depends on age
  • Gender distribution is equal
  • Women (correct)
  • Men

    • What is the most common infection among older adults?

  • Gastrointestinal infection
  • Respiratory infection
  • Skin infection
  • Urinary Tract Infection (UTI) (correct)

    • What contributes to the increased incidence of UTIs in older adults?

    <p>Low fluid intake and excessive fluid loss</p> Signup and view all the answers

    Which organism is most commonly seen in older patients with UTIs in the community or hospital?

    <p>Escherichia coli</p> Signup and view all the answers

    Which organism is more likely to infect patients with indwelling catheters?

    <p>Klebsiella</p> Signup and view all the answers

    What is a common symptom of UTI in postmenopausal women and older adults?

    <p>Nocturia</p> Signup and view all the answers

    What is the significance of a colony count greater than 100,000 CFU/mL in urine cultures?

    <p>It suggests a possible UTI</p> Signup and view all the answers

    What is a common finding in patients with acute UTI regarding white blood cells in the urine?

    <p>Pyuria</p> Signup and view all the answers

    Which diagnostic tool is useful for detecting pyelonephritis or abscesses in UTI?

    <p>Computed tomography (CT) scan</p> Signup and view all the answers

    What is the primary mechanism that helps maintain the sterility of the bladder in preventing Lower Urinary Tract Infections?

    <p>The physical barrier of the urethra</p> Signup and view all the answers

    Which structures are involved in Upper Urinary Tract Infections?

    <p>Kidneys and ureters</p> Signup and view all the answers

    What percentage of all hospital-acquired infections are Catheter-associated Urinary Tract Infections (CAUTIs)?

    <p>50%</p> Signup and view all the answers

    Which of the following is classified as a lower Urinary Tract Infection?

    <p>Bacterial prostatitis</p> Signup and view all the answers

    Which factor is a significant risk factor for developing Catheter-associated Urinary Tract Infections (CAUTIs)?

    <p>Having an indwelling urinary catheter</p> Signup and view all the answers

    Why is the transurethral route the most common way for bacteria to enter the urinary tract?

    <p>Bacteria can travel easily from the periurethral area to the bladder through the urethra.</p> Signup and view all the answers

    Why are symptoms of UTIs less common in older adults?

    <p>They have a higher threshold for pain perception.</p> Signup and view all the answers

    Which type of urinary tract infection is more likely to manifest with gram-negative sepsis and shock?

    <p>Complicated UTI</p> Signup and view all the answers

    What distinguishes complicated UTIs from uncomplicated UTIs?

    <p>Complicated UTIs tend to recur more frequently.</p> Signup and view all the answers

    Which nursing diagnosis is most likely related to a patient with acute kidney injury or chronic kidney disease?

    <p>Impaired urinary elimination related to compromised blood supply</p> Signup and view all the answers

    What is a potential collaborative problem associated with urinary tract infections?

    <p>Sepsis (urosepsis)</p> Signup and view all the answers

    What is recommended to prevent recurrent urinary tract infections?

    <p>Clean the perineum from back to front after a bowel movement</p> Signup and view all the answers

    Which action is advised to reduce concentrations of pathogens at the urethral opening?

    <p>Cleaning the perineum and urethral meatus from front to back</p> Signup and view all the answers

    What voiding habit is recommended to prevent urinary tract infections?

    <p>Voiding every 2 to 3 hours and completely emptying the bladder</p> Signup and view all the answers

    What is a precaution expressly recommended for women to prevent urinary tract infections?

    <p>Void immediately after penile-vaginal intercourse</p> Signup and view all the answers

    Which type of urinary tract infection is much less common?

    <p>Upper UTI</p> Signup and view all the answers

    What can be a potential cause of upper urinary tract infections?

    <p>Bacteria ascending from the bladder into the kidney</p> Signup and view all the answers

    For recurrent urinary tract infections, what daily habit is recommended?

    <p>Consuming cranberry juice or capsules daily</p> Signup and view all the answers

    How do bacteria typically reach the kidneys to cause pyelonephritis?

    <p>Via spread from systemic sources through the bloodstream</p> Signup and view all the answers

    What is the trend regarding the duration of antibiotic therapy for uncomplicated UTIs in women?

    <p>Shortening the course of treatment</p> Signup and view all the answers

    Levofloxacin used in treatment of uncomplicated UTI. this medication is of which of the followings?

    <p>Fluoroquinolone</p> Signup and view all the answers

    What type of antibiotic resistance is a reason for not using ampicillin or amoxicillin alone for UTI treatment?

    <p>E.coli resistance</p> Signup and view all the answers

    In which group of patients are longer medication courses typically indicated for UTI treatment?

    <p>Men, pregnant women, and women with pyelonephritis</p> Signup and view all the answers

    Which urinary analgesic agent is used for symptomatic relief in UTIs?

    <p>Phenazopyridine</p> Signup and view all the answers

    Why is Penicillin like ampicillin and amoxicillin not used alone for the treatment of UTI and pyelonephritis?

    <p>Due to Escherichia coli resistance.</p> Signup and view all the answers

    For which type of UTIs is Trimethoprim-sulfamethoxazole typically used?

    <p>Pyelonephritis</p> Signup and view all the answers

    Which antibiotic is recommended for the treatment of Pyelonephritis among the following options?

    <p>Levofloxacin</p> Signup and view all the answers

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