Patient Information:
Name: Christina Mullen
DOB: 10/5/1983
Diagnosis: Urinary Tract Infection (UTI)
Presenting Symptoms: Flank pain, fever, nausea, chills, and burning with urination.
Current Treatment:
- Trimethoprim/sulfamethoxazole (antibiotic)
- Phenazopyridine (urinary analgesic)
Question 1:
Which of the following concerns should the nurse address when providing care? (Select all that apply)
Correct Answers:
- Physiological: Pain – The client reports bilateral flank pain rated 4 on a scale of 0 to 10.
- Physiological: Infection – The client presents with UTI symptoms, including fever, nausea, and burning with urination.
- Physiological: Elimination – The client reports minimal urine output over the past two days.
- Physiological: Thermoregulation – The client has a fever of 100°F, indicating infection.
Question 2:
Which of the following instructions should the nurse include in the teaching on how to collect a clean catch urine specimen? (Select all that apply)
Correct Answers:
- Wipe the urinary meatus with a moist towelette prior to urination.
- Place the collection container into the urine stream after they have started voiding.
- Instruct the client to cap the container tightly after collecting the specimen.
Question 3:
Which of the following findings indicate that the client is experiencing a urinary tract infection? (Select all that apply)
Correct Answers:
- Appearance – Cloudy urine suggests the presence of bacteria or pus.
- Color – Deep amber color may suggest concentrated urine, which can be linked to dehydration often associated with infections.
- RBCs (Red Blood Cells) – Elevated RBCs (3, normal <2) can indicate irritation or damage to the urinary tract.
- WBCs (White Blood Cells) – Elevated WBCs (10, normal 0-4) indicate infection.
Question 4:
Which of the following provider prescriptions should the nurse anticipate for the client? (Select all that apply)
Correct Answers:
- Administer trimethoprim/sulfamethoxazole PO. – This antibiotic treats the urinary tract infection.
- Administer phenazopyridine PO. – This urinary analgesic helps relieve pain and discomfort.
Question 5:
Which of the following information should the nurse include in the client teaching to prevent future urinary tract infections? (Select all that apply)
Correct Answers:
- Avoid the use of powder in the perineal area.
- Avoid wearing tight-fitting pants.
- Void every 2 to 4 hours.