Urinary Tract Infections and Related Conditions
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Questions and Answers

What dietary factor is associated with increasing the risk of urinary tract infections in patients with benign prostatic hyperplasia (BPH)?

  • High-fiber diet
  • Low-sodium diet
  • High-purine diet (correct)
  • Low-carbohydrate diet
  • Which condition is likely to indicate that a nurse should monitor a client for signs of acute renal failure?

  • Bradycardia
  • Increased appetite
  • Frequent urination
  • Hypertension (correct)
  • What teaching method should be included in a plan to prevent urinary tract infections?

  • Maintaining adequate fluid intake (correct)
  • Wearing cotton underwear
  • Using scented hygiene products
  • Taking vitamin supplements
  • Which of the following is least likely to contribute to the risk of urinary tract infections?

    <p>Regular exercise</p> Signup and view all the answers

    What sign should a nurse monitor for in a client with glomerulonephritis at risk of acute renal failure?

    <p>Increased blood creatinine levels</p> Signup and view all the answers

    Which factor is NOT a predisposing factor for urinary tract infections?

    <p>Recent antibiotic use</p> Signup and view all the answers

    Which option is an appropriate dietary recommendation for a client at risk for renal calculi?

    <p>Reduce high-purine foods</p> Signup and view all the answers

    In assessing risk factors for urinary tract infections, which lifestyle change is most recommended?

    <p>Regular hydration</p> Signup and view all the answers

    What occurs when the loss of ECF volume exceeds the intake of fluids?

    <p>Fluid Volume Deficit</p> Signup and view all the answers

    Which method is recommended first to help a woman with stress incontinence after childbirth?

    <p>Kegel exercises</p> Signup and view all the answers

    Which clinical assessment finding would confirm fluid volume deficit?

    <p>1 lb weight loss</p> Signup and view all the answers

    What is a consequence of losing water and electrolytes in the same proportion?

    <p>Fluid Volume Deficit</p> Signup and view all the answers

    What is a potential drawback of using incontinence pads for stress incontinence?

    <p>Does not resolve the problem</p> Signup and view all the answers

    Which of the following conditions can potentially exacerbate fluid volume deficit?

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

    What approach should be avoided in the management of stress incontinence?

    <p>Fluid restriction</p> Signup and view all the answers

    What might dry mucous membranes indicate in a clinical assessment?

    <p>Fluid Volume Deficit</p> Signup and view all the answers

    What clinical sign indicates dehydration?

    <p>Dry mucous membranes</p> Signup and view all the answers

    How does Lasix affect fluid levels in the body?

    <p>Contributes to fluid loss</p> Signup and view all the answers

    In a patient with fluid volume deficit, what change is expected in BUN and creatinine levels?

    <p>Both will increase</p> Signup and view all the answers

    What is a confirmed diagnosis for a patient with a potassium level of 5.7 mEq/L?

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

    What laboratory finding usually increases with dehydration?

    <p>Urine specific gravity</p> Signup and view all the answers

    Which situation can lead to an elevated potassium level?

    <p>Over-administration of potassium-sparing diuretics</p> Signup and view all the answers

    What is a common clinical sign associated with fluid overload?

    <p>Engorged neck veins</p> Signup and view all the answers

    Which of the following is not a confirming sign of dehydration?

    <p>Weight loss</p> Signup and view all the answers

    Which nursing diagnosis is most relevant for a patient with isotonic fluid volume deficit?

    <p>Decreased cardiac output</p> Signup and view all the answers

    What consequence might occur due to over administration of potassium sparing diuretics?

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

    What laboratory finding would you expect to see in a patient with elevated potassium levels?

    <p>Sinus rhythm with a tall, peaked T wave</p> Signup and view all the answers

    What is a possible effect of decreased renal perfusion in a patient?

    <p>Increase in BUN and creatinine</p> Signup and view all the answers

    Which nursing diagnosis might not be relevant for a patient with fluid volume deficit?

    <p>Improved tissue perfusion</p> Signup and view all the answers

    Which condition is characterized by diarrhea and vomiting leading to decreased urine sodium?

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

    What could be a primary concern for a client receiving corticosteroids?

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

    Which vital sign change would likely accompany fluid volume deficit?

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

    What is a primary ECG indicator of hyperkalemia?

    <p>Tall, peaked T wave</p> Signup and view all the answers

    Which symptom is NOT associated with severe hyperkalemia?

    <p>Abdominal cramping</p> Signup and view all the answers

    What mechanism leads to hyponatremia in a case of hypervolemic hyponatremia?

    <p>Dilution of sodium due to excess water</p> Signup and view all the answers

    Which diuretic is commonly used as a potassium-wasting agent?

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

    What serious clinical manifestation may occur when serum potassium reaches 7.0 mEq/L?

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

    Which of the following is a potential cause of hypervolemic hyponatremia?

    <p>Syndrome of Inappropriate Antidiuretic Hormone (SIADH)</p> Signup and view all the answers

    Which type of electrolyte imbalance is indicated by a serum calcium level of 7.2 mg/dl?

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

    What is the implication of a prolonged PR interval on an ECG?

    <p>Delay in conduction from atria to ventricles</p> Signup and view all the answers

    Study Notes

    Urinary Tract Infections

    • Foul-smelling urine can be a sign of a urinary tract infection (UTI).
    • Benign prostatic hyperplasia (BPH) is a risk factor for UTIs because it causes urinary stasis.
    • A high-purine diet is associated with renal calculi, not UTIs.

    Urinary Tract Infection Prevention

    • Maintaining adequate fluid intake is a key recommendation for preventing UTIs.
    • Wearing underwear made of synthetic material like nylon is not a recommended preventative measure.

    Urinary Incontinence

    • Kegel exercises are often recommended for women with stress incontinence.
    • Stress incontinence is a condition where urine leaks when sneezing or laughing.
    • Incontinence pads do not resolve the problem of stress incontinence.

    Fluid Volume Deficit (FVD)

    • A dry mucous membrane is a clinical sign of dehydration.
    • FVD occurs when the loss of extracellular fluid (ECF) volume exceeds the intake of fluids.
    • A 1 lb weight loss can be associated with dehydration but is not a confirming sign.
    • Engorged neck veins and a bounding pulse are signs of fluid overload, not FVD.
    • FVD can lead to increased BUN and Creatinine levels.
    • Lasix (furosemide) is a diuretic that can exacerbate FVD.

    Hyperkalemia

    • Hyperkalemia is a condition where the potassium level in the blood is above 5.7 mEq/L.
    • Frequent episodes of diarrhea, vomiting, and administration of corticosteroids contribute to hypokaleimia, not hyperkalemia.
    • Potassium-sparing diuretics can cause hyperkalemia by conserving potassium in the body.
    • Hyperkalemia can be detected on an ECG by the presence of a tall, peaked T wave.
    • A prolonged QT interval on an ECG indicates a delay in conduction between the atria and ventricles.
    • A U wave and a depressed ST segment on an ECG are present with hypokalemia.
    • Lasix is used to treat hyperkalemia because it is a potassium-wasting diuretic.

    Hyponatremia

    • Hypervolemic hyponatremia occurs when the body's water volume increases but sodium levels remain the same.
    • Syndrome of Inappropriate Antidiuretic Hormone (SIADH) can lead to hypervolemic hyponatremia because ADH retains water in the body, diluting sodium.

    Calcium Imbalance

    • A calcium level of 7.2 mg/dl is considered low.

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    Description

    This quiz covers essential knowledge about urinary tract infections (UTIs), their prevention, urinary incontinence, and fluid volume deficit. Test your understanding of symptoms, risk factors, and preventive measures related to these health topics. Prepare to enhance your knowledge in urology and related medical fields.

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