Which of the following symptoms do you expect to see in a patient diagnosed with acute pyelonephritis?
1. Jaundice and flank pain
2. Costovertebral
... [Show More] angle tenderness and chills
3. Burning sensation on urination
4. Polyuria and nocturia - answerAnswer: 2. Costovertebral angle tenderness, flank pain, and chills are symptoms of acute pyelonephritis. Jaundice indicates gallbladder or liver obstruction. A burning sensation on urination is a sign of lower urinary tract infection.
You have a patient that might have a urinary tract infection (UTI). Which statement by the patient suggests that a UTI is likely?
1. "I pee a lot."
2. "It burns when I pee."
3. "I go hours without the urge to pee."
4. "My pee smells sweet." - answerAnswer: 2. A common symptom of a UTI is dysuria. A patient with a UTI often reports frequent voiding of small amounts and the urgency to void. Urine that smells sweet is often associated with diabetic ketoacidosis.
Which instructions do you include in the teaching care plan for a patient with cystitis receiving phenazopyridine (Pyridium).
1. If the urine turns orange-red, call the doctor.
2. Take phenazopyridine just before urination to relieve pain.
3. Once painful urination is relieved, discontinue prescribed antibiotics.
4. After painful urination is relieved, stop taking phenazopyridine. - answerAnswer: 4. Pyridium is taken to relieve dysuria because is provides an analgesic and anesthetic effect on the urinary tract mucosa. The patient can stop taking it after the dysuria is relieved. The urine may temporarily turn red or orange due to the dye in the drug. The drug isn't taken before voiding, and is usually taken 3 times a day for 2 days.
Which patient is at greatest risk for developing a urinary tract infection (UTI)?
1. A 35 y.o. woman with a fractured wrist
2. A 20 y.o. woman with asthma
3. A 50 y.o. postmenopausal woman
4. A 28 y.o. with angina - answerAnswer: 3. Women are more prone to UTI's after menopause due to reduced estrogen levels. Reduced estrogen levels lead to reduced levels of vaginal Lactobacilli bacteria, which protect against infection. Angina, asthma and fractures don't increase the risk of UTI.
You have a patient that is receiving peritoneal dial [Show Less]