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Questions and Answers
Which of the following is the most common type of nosocomial infection associated with indwelling catheters?
Which of the following is the most common type of nosocomial infection associated with indwelling catheters?
- Bacteremia
- Cystitis
- Sepsis
- Urinary Tract Infection (UTI) (correct)
A patient is diagnosed with pyelonephritis. Which of the following best describes this condition?
A patient is diagnosed with pyelonephritis. Which of the following best describes this condition?
- Bacteria present in the urine
- Inflammation of the bladder
- Bacterial infection in the bloodstream
- Inflammation/Infection of one or both kidneys (correct)
A urinalysis result shows the presence of leukocyte esterase and nitrites. What does this typically indicate?
A urinalysis result shows the presence of leukocyte esterase and nitrites. What does this typically indicate?
- Kidney damage
- Bladder cancer
- Dehydration
- Urinary Tract Infection (UTI) (correct)
Which of the following is NOT a common organism associated with Urinary Tract Infections (UTIs)?
Which of the following is NOT a common organism associated with Urinary Tract Infections (UTIs)?
Which intervention is most important for preventing catheter-associated urinary tract infections (CAUTIs)?
Which intervention is most important for preventing catheter-associated urinary tract infections (CAUTIs)?
Which of the following is the primary concern regarding the long-term use of indwelling urinary catheters?
Which of the following is the primary concern regarding the long-term use of indwelling urinary catheters?
The presence of bacteria in the urine is best described by which term?
The presence of bacteria in the urine is best described by which term?
A patient with a UTI reports experiencing burning during urination, frequent urges to urinate, and suprapubic pain. Which term best describes these manifestations?
A patient with a UTI reports experiencing burning during urination, frequent urges to urinate, and suprapubic pain. Which term best describes these manifestations?
Which of the following is a key element in preventing UTIs related to urinary catheters?
Which of the following is a key element in preventing UTIs related to urinary catheters?
What is the rationale behind limiting the length of time an indwelling urinary catheter remains in place?
What is the rationale behind limiting the length of time an indwelling urinary catheter remains in place?
Which of the following is the definition of urosepsis?
Which of the following is the definition of urosepsis?
An elderly female patient is diagnosed with a UTI. Considering common organisms, which pathogen is most likely the cause?
An elderly female patient is diagnosed with a UTI. Considering common organisms, which pathogen is most likely the cause?
Which of the following is NOT typically a risk factor for developing a urinary tract infection?
Which of the following is NOT typically a risk factor for developing a urinary tract infection?
What is the rationale for advising increased fluid intake for a patient with a UTI?
What is the rationale for advising increased fluid intake for a patient with a UTI?
A patient is prescribed Pyridium for a UTI. What should the nurse educate the patient about regarding this medication?
A patient is prescribed Pyridium for a UTI. What should the nurse educate the patient about regarding this medication?
Flashcards
Cystitis
Cystitis
Inflammation/Infection of the bladder
Pyelonephritis
Pyelonephritis
Inflammation/Infection of one or both kidneys
Bacteruria
Bacteruria
Bacteria in the urine
Bacteremia
Bacteremia
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Urosepsis
Urosepsis
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Urinary Tract Infection (UTI)
Urinary Tract Infection (UTI)
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Catheter-Associated UTI (CAUTI)
Catheter-Associated UTI (CAUTI)
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Urinalysis
Urinalysis
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Leukocyte Esterase
Leukocyte Esterase
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Nitrates/Nitrites
Nitrates/Nitrites
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Urine Culture
Urine Culture
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E. coli
E. coli
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CAUTI Prevention
CAUTI Prevention
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Symptoms of UTI
Symptoms of UTI
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Urine Specimen
Urine Specimen
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Study Notes
- Concept of Elimination and Infection: Urinary Tract Infection
The Urinary System
- Includes: Abdominal Aorta, Inferior Vena Cava, Renal Artery, Kidney, Renal Vein, Ureter, Urinary Bladder, and Urethra
Definitions
- Cystitis involves inflammation and/or infection of the bladder
- Pyelonephritis involves inflammation and/or infection of one or both kidneys
- Bacteriuria indicates presence of bacteria in the urine
- Bacteremia indicates presence of bacteria in the blood
- Urosepsis occurs when a severe illness starts in the urinary tract and spreads to the bloodstream
Urinary Tract Infections (UTI's)
- An infection present in some portion of the urinary system
- Commonly a nosocomial infection typically linked to indwelling catheters (CAUTI)
Diagnosis
- Includes a Urinalysis and Urine Culture
- Urinalysis tests include: Leukocyte Esterase, Nitrates and nitrites, White Blood Cells
Risk Factors
- Gender can be a risk factor
- Incontinence can heighten the risk of a UTI
- BPH, or enlarged prostate, poses a risk
- Improper cleaning.
- Incomplete emptying of the bladder
- Indwelling catheters
Common Organisms
- E. Coli is the most common organism in elderly and women
- Klebsiella
- Enerococcus
- Proteus
- Pseudomonas
- Enterobacter
- Candida
Clinical Manifestations, Symptoms of UTI include
- Strong urine odor
- Strong urge to urinate
- Burning with urination
- Cloudy or pink urine
- Blood in urine
- Suprapubic pain
Treatment
- Includes: Antibiotics, fluids, other medications, and pyridium
Prevention
- Reduce the time that an indwelling catheter is needed
- Use sterile technique when inserting
- Prevent backflow or reflux from the catheter system
- Limit opening of the drainage system
- Provide good catheter and perineal care
Obtaining Specimens
- Method depends on if patient is voiding, has a foley catheter
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