Wk 5 UTI

Question 1

What 3 things does an upper UTI involve?

Answer 1

Parenchyma
Pelvis
Uterus

Question 2

What are 3 symptoms of an upper UTI?

Answer 2

Fever
Chills
Flank pain (CVA tenderness)

Question 3

A lower UTI has no __ manifestations

Answer 3

Systemic

Question 4

What is the definition of pyelonephritis?

Answer 4

Inflammation, usually associated with infection, or renal parenchyma and collecting system

Question 5

What is cystitis?

Answer 5

Inflammation of the bladder

Question 6

What is urosepsis?

Answer 6

UTI that has spread to systemic circulation

Question 7

Urosepsis is…

Answer 7

life-threatening

Question 8

Anyone who has urinary __ is predisposed to a UTI

Answer 8

stasis

Question 9

What is a good example of someone who has urinary stasis?

Answer 9

Neurogenic bladder

Question 10

What are two immune system risk factors for UTIs?

Answer 10

Aging

Diabetes

Question 11

What is a functional disorder that may cause a UTI?

Answer 11

Constipation

Question 12

How does constipation cause a UTI?

Answer 12

Can impeded urine outflow

Question 13

What is a “nurse’s bladder”?

Answer 13

A habitual delay in urinating that can lead to UTI

Question 14

What else can cause a UTI?

Answer 14

Calculi

Question 15

What can cause a blockage of the ureter that can lead to a UTI? (2)

Answer 15

Pregnancy

Tumors

Question 16

What are 4 things that can cause an obstruction of the ureter?

Answer 16

Calculi
Tumors
Clots
Inflammation

Question 17

3 things that can cause UTI concerning below the bladder?

Answer 17

Prostate hyperplasia
Carcinoma
Urethral strictures

Question 18

What are symptoms of LOWER UTIs?

Answer 18

Bladder emptying symptoms

Bladder storage symptoms

Question 19

What are bladder emptying symptoms? (5)

Answer 19

Hesitancy 
Intermittency
Post-void dribbling
Urinary retention
Dysuria

Question 20

What are bladder storage symptoms? (5)

Answer 20

Urinary frequency
Urgency
Incontinence
Nocturia
Nocturnal enuresis

Question 21

Urinary frequency
Urgency
Incontinence
Nocturia
Nocturnal enuresis

What type of symptoms are these?

Answer 21

Bladder storage symptoms

Question 22

Hesitancy 
Intermittency
Post-void dribbling
Urinary retention
Dysuria

What type of symptoms are these?

Answer 22

Bladder emptying symptoms

Question 23

Bladder emptying and storage symptoms are for __ UTIs

Answer 23

Lower

Question 24

What is nocturnal enuresis?

Answer 24

Bed wetting

Question 25

UTIs are the most common bacterial infection in...

Answer 25

women

Question 26

A UTI in women is typically a gram-__ infection

Answer 26

negative

Question 27

What bacteria is responsible for most UTIs?

Answer 27

E. coli

Question 28

What is the most common classic symptom in an elderly patient with a UTI?

Answer 28

Confusion

Question 29

What is often the first sign an elderly patient has a UTI?

Answer 29

Confusion

Question 30

What are 3 symptoms for the elderly that they may be experiencing a UTI?

Answer 30

Non-localized abdominal discomfort Cognitive impairment Generalized clinical deterioration

Question 31

What are 2 things we look for in urine to diagnose a UTI?

Answer 31

Bacteriuria and pyuria

Question 32

What is pyuria?

Answer 32

Pus in the urine

Question 33

What are 3 chemstrip indications that a patient had a UTI?

Answer 33

Positive for nitrates Increased WBC Positive for leukocyte esterase

Question 34

What 2 tests on a chemstrip indicated a patient has pyuria?

Answer 34

Increased WBC | Positive for leukocyte esterase

Question 35

What is leukocyte esterase?

Answer 35

An enzyme in white blood cells

Question 36

What do nitrates in urine indicate?

Answer 36

Bacteriuria

Question 37

List 4 reasons a clean catch urine culture may be done

Answer 37

Complicated or nosocomial UTI Frequent UTI Unresponsive to therapy Questionable diagnosis

Question 38

Patient teaching on emptying

Answer 38

Empty the bladder regularly and completely, don't rush the process

Question 39

Patient teaching on wiping

Answer 39

Wipe perineal area from front to back following urination and bowel movement

Question 40

Patient teaching on PO fluid intake

Answer 40

Drink adequate amounts of fluid daily (2-3 liters)

Question 41

There is no evidence that what prevents UTIs?

Answer 41

Cranberries

Question 42

Patient teaching on sexual activity

Answer 42

If female urinate before and after sex

Question 43

UTI risk factor reduction for catheterization:

Answer 43

Avoid putting them in or remove asap

Question 44

UTI risk factor reduction for instrumentation?

Answer 44

Careful aseptic technique

Question 45

UTI risk factor reduction for perineal care

Answer 45

Excellent hand washing, gloves wearing

Question 46

UTI risk factor reduction for incontinent patients

Answer 46

Avoid incontinence episodes, clean up asap

Question 47

What types of fluids/foods are bladder irritants? (5)

Answer 47

``` Caffeine Alcohol Citrus juices Chocolate Spicy foods ```

Question 48

What should you NOT do if a patient has a UTI?

Answer 48

Don't put them in a bubble bath

Question 49

What are good non-pharmacologic techniques for UTI pain? (2)

Answer 49

Warm bath or shower | Local heat to the area

Question 50

What are 2 teaching points for pharmacologic treatment of UTI for patients?

Answer 50

Take full course of antibiotics | Seek follow-up care if symptoms do not resolve

Question 51

How soon should a patient with a UTI start to see symptoms subside if they are on antibiotics?

Answer 51

A couple days

Question 52

If a patient doesn't see symptoms of UTI subside within a couple days of antibiotic treatment they should do what?

Answer 52

Contact HCP